Individual
DAVENIA BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9089 S PECOS RD STE 3600, HENDERSON, NV 89074-7186
(702) 680-1526
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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