Taren Davis

NPI #1710412408 in Wagoner, Oklahoma

Provider Information

NPI Number: 1710412408
Entity Type: Individual
Name: Taren Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 1, 2017
Last Updated: May 1, 2017

Practice Location

Address: 109 S HARRILL AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-5317
Phone: (918) 485-0242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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