LAVONTRE DAVIS, BEHAVIOR THERAPIST

Behavior Technician

Active Individual
NPI: 1275126930

Practice Address

3921 PINTAIL DR STE B
Springfield, IL 62711

Phone: (217) 572-2286

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1275126930 is the National Provider Identifier for LAVONTRE DAVIS, BEHAVIOR THERAPIST, a Behavior Technician provider located in Springfield, IL. This NPI was enumerated on February 14, 2021.
LAVONTRE DAVIS, BEHAVIOR THERAPIST practices at 3921 PINTAIL DR STE B, Springfield, IL 62711.

Quick Facts

NPI
1275126930
Type
Individual
Enumerated
Feb 14, 2021
Last Updated
Feb 14, 2021

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