DIONTE DAVIS

MEDFORD, OR
NPI1194613984
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171400000X 
Additional Taxonomies106S00000X Behavior Technician
175T00000X Peer Specialist
Enumeration Date2025-06-27
Last Update Date2025-06-27
Business Address
DIONTE DAVIS
3140 JUANIPERO WAY STE 101
MEDFORD, OR 97504-8647
Phone number: 541-323-4800
Mailing Address
DIONTE DAVIS
23110 LAWSON AVE
WARREN, MI 48089-4473
Phone number: