Lakisha Davis
Behavior Technician in Bayport, NY. Individual provider (NPI-1).
NPI number1801769476
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1801769476
- Entity type
- Individual (NPI-1)
- Name
- Lakisha Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2025
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
325 1st Ave Fl 1Bayport, NY 11705-1303
Phone 631-201-7865
Mailing address
277 E Amador Ave Ste 101Las Cruces, NM 88001-3675
Phone 505-392-3482
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All 42 Behavior Technician providers in Bayport · All 227 providers in Bayport
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