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Individual

DASEANDA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7313 EAGLE CREST BLVD, EVANSVILLE, IN 47715-8157
(812) 213-9394
Mailing address
3961 VISTA DR, EVANSVILLE, IN 47710-3569

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IN

Other

Enumeration date
01/13/2026
Last updated
01/13/2026
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