Benjamin Phillip Davis Valid NPI
Individual provider · Behavior Analyst · Berea, KY
- NPI
- 1356789531
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- 251789 (KY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-06-10
- Last updated
- 2019-07-06
Practice location
1126 Breezy Ln
Berea, KY 40403-8659
(606) 875-1420