Individual
BAZJAE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
13207 WINTER HAZEL RD APT 307, CHARLOTTE, NC 28278-7479
(980) 378-2090
Mailing address
13207 WINTER HAZEL RD APT 307, CHARLOTTE, NC 28278-7479
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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