Individual
JESSICA KATE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
12650 HAMILTON CROSSING BLVD, CARMEL, IN 46032-5400
(317) 249-2242
Mailing address
6034 HEATH VALLEY RD, CHARLOTTE, NC 28210-4352
(317) 249-2242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17171
IN
Other
Enumeration date
02/19/2015
Last updated
06/21/2022
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