LAVONTRE DAVIS

SPRINGFIELD, IL
NPI1275126930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-02-14
Last Update Date2021-02-14
Business Address
LAVONTRE DAVIS Behavior Therapist
3921 PINTAIL DR STE B
SPRINGFIELD, IL 62711-6738
Phone number: 217-572-2286
Mailing Address
LAVONTRE DAVIS Behavior Therapist
3921 PINTAIL DR STE B
SPRINGFIELD, IL 62711-6738
Phone number: 217-572-2286
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