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Lajanae Davis

Behavior Technician in Colorado Springs, CO. Individual provider (NPI-1).

NPI number1164045407
StatusActive
Last updated in NPPESMay 21, 2020

Details

NPI
1164045407
Entity type
Individual (NPI-1)
Name
Lajanae Davis
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2020
Certification date
May 21, 2020
Last updated
May 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

102 S. Tajon Street Ste. 1100
Colorado Springs, CO 80903

Phone 800-991-6070

Mailing address

316 Mid Valley Ctr # 186
Carmel, CA 93923-8516

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