Individual
ALEXA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84106-6004
(801) 647-3920
Mailing address
3006 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84106-6004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R414-1
—
UT
Enumeration date
12/04/2018
Last updated
12/04/2018
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