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Individual

KENYADA DESHAWN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BHRS

Contact information

Practice address
914 NE 31ST ST, OKLAHOMA CITY, OK 73105-7622
(405) 922-3129
Mailing address
914 NE 31ST ST, OKLAHOMA CITY, OK 73105-7622
(405) 922-3129

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
OK

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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