Individual
DESEREE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 CLAIRMONT CIR APT 4, DECATUR, GA 30033-5343
(678) 933-4615
Mailing address
533 CLAIRMONT CIR APT 4, DECATUR, GA 30033-5343
(678) 933-4615
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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