Indigo Davis

NPI #1336617430 in Rohnert Park, California

Provider Information

NPI Number: 1336617430
Entity Type: Individual
Name: Indigo Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 6, 2018
Last Updated: Nov 6, 2018

Practice Location

Address: 183 AVRAM AVE APT 6
City: Rohnert Park
State: California
ZIP Code: 94928-3142
Phone: (707) 834-0268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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