Otavaia Davis

NPI #1396318994 in Boulder, Colorado

Provider Information

NPI Number: 1396318994
Entity Type: Individual
Name: Otavaia Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 21, 2021
Last Updated: Jul 21, 2021

Practice Location

Address: 2500 ARAPAHOE AVE STE 230
City: Boulder
State: Colorado
ZIP Code: 80302-6752
Phone: (720) 432-4326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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