Lavontre Davis, BEHAVIOR THERAPIST
NPI #1275126930 in Springfield, Illinois
Provider Information
- NPI Number
- 1275126930
- Entity Type
- Individual
- Name
- Lavontre Davis, BEHAVIOR THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Credential
- BEHAVIOR THERAPIST
- Enumeration Date
- Feb 14, 2021
- Last Updated
- Feb 14, 2021
Practice Location
- Address
- 3921 PINTAIL DR STE B
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-6738
- Phone
- (217) 572-2286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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