Individual
NIOMI DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2217 2ND ST, SLIDELL, LA 70458-3611
(985) 445-1043
(504) 553-1113
Mailing address
2217 2ND ST, SLIDELL, LA 70458-3611
(985) 445-1043
(504) 553-1113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-962
LA
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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