Individual
REBECCA MONDESIR DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 LAKE ELLENOR DR, ORLANDO, FL 32809-4614
(407) 325-2235
Mailing address
6100 LAKE ELLENOR DR STE 212, ORLANDO, FL 32809-4632
(407) 325-2235
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
12/13/2019
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