Whalio Doctors

NPI 1114437548

Samantha Lee Davis, MEDBCBA

Practitioner Behavior Analyst Bryant, AR

Practice location

Address
22461 I-30 Frontage Rd 1100b, Bryant, AR 72022
Phone
(501) 574-3053
Mailing address
22641 Frontage Rd, Bryant, AR 72022-9117

Registered specialties (2)

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-18-31009
Assistant Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence C-022 (LA)

Registry record

NPI
1114437548
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Oct 2017
Record last updated
15 Nov 2018

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.