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William Robert Davis Jr.

Behavior Technician in Kennett, MO. Individual provider (NPI-1).

NPI number1336799428
StatusActive
Last updated in NPPESSep 19, 2019

Details

NPI
1336799428
Entity type
Individual (NPI-1)
Name
William Robert Davis Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 19, 2019
Last updated
Sep 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1109 Jones St
Kennett, MO 63857-3824

Phone 573-888-5925

Mailing address

1109 Jones St
Kennett, MO 63857-3824

Phone 573-888-5925

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