Breanna Davenport

NPI #1013631613 in Raleigh, North Carolina

Provider Information

NPI Number: 1013631613
Entity Type: Individual
Name: Breanna Davenport
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 28, 2022
Last Updated: Sep 28, 2022

Practice Location

Address: 421 FAYETTEVILLE ST STE 1100
City: Raleigh
State: North Carolina
ZIP Code: 27601-3000
Phone: (877) 418-2978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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