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Jason Davidson

Behavior Technician in Clovis, CA. Individual provider (NPI-1).

NPI number1942016308
StatusActive
Last updated in NPPESDec 9, 2024

Details

NPI
1942016308
Entity type
Individual (NPI-1)
Name
Jason Davidson
Sex
Male
Sole proprietor
No
Enumeration date
Dec 9, 2024
Certification date
Dec 9, 2024
Last updated
Dec 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1420 Shaw Ave Ste 105
Clovis, CA 93611-4072

Phone 559-314-0623

Mailing address

996 Royal Marco Way
Marco Island, FL 34145-1829

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