Edrena Davis

NPI #1619313889 in Hazel Crest, Illinois

Provider Information

NPI Number: 1619313889
Entity Type: Individual
Name: Edrena Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: May 15, 2013
Last Updated: May 15, 2013

Practice Location

Address: 1909 CHEKER SQ
City: Hazel Crest
State: Illinois
ZIP Code: 60429-1442
Phone: (708) 331-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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