Individual
KATHY LOUISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2266 S DODSON RD., 200, MESA, AZ 85202
(623) 209-9494
Mailing address
208 W CORONADO ST, BUCKEYE, AZ 85326-1040
(623) 209-9495
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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