Individual
DR. TALIA LASANDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, BCBA, LBA
Contact information
Practice address
610 W JEROME AVE, MESA, AZ 85210-5997
(480) 973-6729
Mailing address
610 W JEROME AVE, MESA, AZ 85210-5997
(480) 973-6729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BEH-000509
AZ
103TC0700X
Clinical Psychologist
Primary
PSY-005961
AZ
Other
Enumeration date
01/30/2020
Last updated
11/24/2025
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