Individual
JODIE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1701 ALDERSGATE RD STE 1, LITTLE ROCK, AR 72205-6675
(501) 389-8390
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7346
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102622700
—
FL
Enumeration date
12/10/2010
Last updated
04/17/2023
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