Angelina Victoria Davenport

NPI #1972209385 in Three Rivers, Michigan

Provider Information

NPI Number: 1972209385
Entity Type: Individual
Name: Angelina Victoria Davenport
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 7, 2023
Last Updated: Feb 7, 2023

Practice Location

Address: 16587 ENTERPRISE DR STE E
City: Three Rivers
State: Michigan
ZIP Code: 49093-7902
Phone: (213) 864-1870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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