Caitlin Davenport

NPI #1124529367 in Kentwood, Michigan

Provider Information

NPI Number: 1124529367
Entity Type: Individual
Name: Caitlin Davenport
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 22, 2018
Last Updated: Feb 21, 2019

Practice Location

Address: 3361 36TH ST SE
City: Kentwood
State: Michigan
ZIP Code: 49512
Phone: (616) 301-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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