MRS. Samantha Kelly Blake Davis

NPI #1134908247 in Woodstock, Georgia

Provider Information

NPI Number: 1134908247
Entity Type: Individual
Name: MRS. Samantha Kelly Blake Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 27, 2023
Last Updated: Sep 27, 2023

Practice Location

Address: 622 THE GENERAL AVE
City: Woodstock
State: Georgia
ZIP Code: 30189-3412
Phone: (404) 310-0082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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