Individual
BONNIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8891
Mailing address
2510 E PAWNEE ST APT 103, WICHITA, KS 67211-5540
(727) 623-5536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-157207
CO
106S00000X
Behavior Technician
Primary
RBT-21-157207
KS
Other
Enumeration date
02/23/2021
Last updated
03/18/2026
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