Madison Lynn Davis

NPI #1073336053 in Plymouth, Minnesota

Provider Information

NPI Number: 1073336053
Entity Type: Individual
Name: Madison Lynn Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 6, 2024
Last Updated: Nov 6, 2024

Practice Location

Address: 3007 HARBOR LN N STE 1200
City: Plymouth
State: Minnesota
ZIP Code: 55447-5138
Phone: (612) 439-4650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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