Individual
JESSICA ANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
225800000X
Recreation Therapist
Primary
14283103-4003
UT
Other
Enumeration date
04/17/2025
Last updated
04/22/2026
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