Individual
JESSICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,BCBA, LBA
Contact information
Practice address
235 GEORGIA AVE STE 110, PROVIDENCE, RI 02905-4516
(855) 696-1195
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00195
RI
Other
Enumeration date
10/18/2019
Last updated
12/16/2025
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