Individual
KRYSTEL RAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3005 S LAMAR BLVD STE D109-116, AUSTIN, TX 78704-8864
(760) 409-8976
Mailing address
3005 S LAMAR BLVD STE D109-116, AUSTIN, TX 78704-8864
(760) 409-8976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-21274
—
103K00000X
Behavior Analyst
2109
TX
Other
Enumeration date
07/28/2015
Last updated
04/25/2020
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