Individual
BROOKLYN D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
632 EASTERN BLVD, CLARKSVILLE, IN 47129-2463
(812) 725-9025
(317) 663-1175
Mailing address
12650 HAMILTON CROSSING BLVD, CARMEL, IN 46032-5400
(317) 249-2242
(317) 663-1175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2022
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