Ethan Lane Davis

NPI #1023902590 in Cleveland, Tennessee

Provider Information

NPI Number
1023902590
Entity Type
Individual
Name
Ethan Lane Davis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jun 7, 2025
Last Updated
Jun 7, 2025

Practice Location

Address
177 MOUSE CREEK RD NW
ZIP Code
37312-3838
Phone
(888) 963-2228

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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