NPI 1083148886

Kyle Edward Davidson

Practitioner Assistant Behavior Analyst Centralia, WA

Practice location

Address: 2428 W Reynolds Ave, Centralia, WA 98531-4554
Phone: (302) 670-5772

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1083148886
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2017
Record last updated: 18 Apr 2017

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.