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NPI Profile for EDEN DAVIS in QUANAH, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Behavior Analyst |
103K00000X |
| NPI Number | 1912443284 |
|
| Status | Active | |
| Credentials | BCBA, LPC | |
| Entity | Individual | |
| Enumeration date | 01/11/2017 | |
| Last updated | 05/18/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EDEN DAVIS
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EDEN DAVIS, BCBA, LPC