Lynette Davis
Behavior Technician in Dublin, CA. Individual provider (NPI-1).
NPI number1164064259
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1164064259
- Entity type
- Individual (NPI-1)
- Name
- Lynette Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2019
- Last updated
- Jun 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6475 Sierra LnDublin, CA 94568-2796
Phone 303-989-8169
Mailing address
6475 Sierra LnDublin, CA 94568-2796
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