Darryl E Davis Jr.
Behavior Technician in Indianapolis, IN. Individual provider (NPI-1).
NPI number1194530295
StatusActive
Last updated in NPPESFeb 7, 2025
Details
- NPI
- 1194530295
- Entity type
- Individual (NPI-1)
- Name
- Mr. Darryl E Davis Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2025
- Certification date
- Feb 7, 2025
- Last updated
- Feb 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8915 Westminster CtIndianapolis, IN 46256-2268
Phone 317-292-5123
Mailing address
609 E 29th StIndianapolis, IN 46205-4160
Phone 317-292-5123
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