Wyatt Laine Davis, RBT
Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1689366353
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1689366353
- Entity type
- Individual (NPI-1)
- Name
- Wyatt Laine Davis
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2023
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-274016 | – | Yes |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-436-4400
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-436-4400 · Fax 317-520-8200
Other practice locations
9302 E 22nd St
Tucson, AZ 85710-7342
Tucson, AZ 85710-7342
Phone 520-278-5758 · Fax 317-520-8200
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All 33,296 Behavior Technician providers in Farmington Hills · All 39,103 providers in Farmington Hills
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