MICHEAL DAVENPORT-MATHIS

DOUGLASVILLE, GA
NPI1497505606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-03-22
Last Update Date2024-03-22
Business Address
MICHEAL DAVENPORT-MATHIS
3294 SR-5 N
DOUGLASVILLE, GA 30135
Phone number: 857-829-4040
Mailing Address
MICHEAL DAVENPORT-MATHIS
800 W MARIETTA ST NW
ATLANTA, GA 30318-5214
Phone number: 267-633-5052
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