ETHAN LANE DAVIS

CLEVELAND, TN
NPI1023902590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: TN  RBT-25-442247)
Enumeration Date2025-06-07
Last Update Date2025-06-07
Business Address
ETHAN LANE DAVIS
177 MOUSE CREEK RD NW
CLEVELAND, TN 37312-3838
Phone number: 888-963-2228
Mailing Address
ETHAN LANE DAVIS
177 MOUSE CREEK RD NW
CLEVELAND, TN 37312-3838
Phone number: 888-963-2228
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