Hattie Marie Davis

NPI #1093334930 in Kirtland, New Mexico

Provider Information

NPI Number: 1093334930
Entity Type: Individual
Name: Hattie Marie Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2020
Last Updated: Apr 10, 2020

Practice Location

Address: 506 ROAD 6100
City: Kirtland
State: New Mexico
ZIP Code: 87417-9316
Phone: (385) 314-0476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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