Individual
MISHAYLA KASSIDY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2549 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(208) 871-2120
Mailing address
2549 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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