Individual
LAKISHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 1ST AVE FL 1, BAYPORT, NY 11705-1303
(631) 201-7865
Mailing address
277 E AMADOR AVE STE 101, LAS CRUCES, NM 88001-3675
(505) 392-3482
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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