Individual
NANCY L. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
815 BLANCHARD HILL RD, RUSSELL, NY 13684-3106
(315) 347-4388
Mailing address
815 BLANCHARD HILL RD, RUSSELL, NY 13684-3106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1261
NY
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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