Individual
AMY MACKENZIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10260 NW 48TH CT, CORAL SPRINGS, FL 33076-1717
(954) 397-0464
Mailing address
10260 NW 48TH CT, CORAL SPRINGS, FL 33076-1717
(954) 397-0464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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