Forrest L Davis
Behavior Technician in Columbus, GA. Individual provider (NPI-1).
NPI number1164036836
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1164036836
- Entity type
- Individual (NPI-1)
- Name
- Forrest L Davis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1110 13th St Ste DColumbus, GA 31901-2246
Phone 706-780-1704
Mailing address
2109 40th StColumbus, GA 31904-7309
Phone 706-332-2438
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