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Individual

WILLIAM DELEON CARLYLE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6510 TOWN CENTER DR, CLARKSTON, MI 48346-4822
(844) 783-2066
Mailing address
1500 S DOUGLAS RD, CORAL GABLES, FL 33134-4108
(248) 712-4266

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
156F00000X
Technician/Technologist
Primary

Other

Enumeration date
10/27/2022
Last updated
06/18/2026
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