NPI 1063039931

Abby Renae Davis

Practitioner Behavior Technician Cheyenne, WY

Practice location

Address: 3120 Old Faithful Rd STE 100, Cheyenne, WY 82001-5890
Phone: (307) 369-1410
Mailing address: 1721 E 22nd St APT 4, Cheyenne, WY 82001-4177

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Wyoming →

Registry record

NPI: 1063039931
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2020
Record last updated: 26 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.