Individual
ANTHONY DARNELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 CATAWBA ST, ROXBURY, MA 02119-1825
(617) 756-0865
Mailing address
50 CATAWBA ST, ROXBURY, MA 02119-1825
(161) 775-6086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S97538252
MA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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