Shanetria R Davis
Behavior Technician in Magnolia, TX. Individual provider (NPI-1).
NPI number1063117331
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1063117331
- Entity type
- Individual (NPI-1)
- Name
- Shanetria R Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2023
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-229184 | – | Yes |
Practice location
32502 Tamina Rd Ste 100Magnolia, TX 77354-2260
Phone 936-206-5158
Mailing address
32502 Tamina Rd Ste 100Magnolia, TX 77354-2260
Phone 936-206-5158
Other practice locations
6911 Laurel Bowie Rd Ste 309
Bowie, MD 20715-1712
Bowie, MD 20715-1712
Phone 301-755-4021 · Fax 800-858-5250
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All 165 Behavior Technician providers in Magnolia · All 862 providers in Magnolia
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