Individual
ELLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 SCALES PL, GREENVILLE, NC 27834-7202
(919) 375-0475
Mailing address
1408 JOEL DR UNIT B, GREENVILLE, NC 27834-0424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-78747
—
103K00000X
Behavior Analyst
14808
—
103K00000X
Behavior Analyst
1629
NC
Other
Enumeration date
10/19/2023
Last updated
01/03/2025
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