Divon L Davis-Boddie
Divon L Davis-Boddie is a Behavior Technician in Glendale, Arizona. Licensed in Alaska. Registered with an NPI since 2024.
- Licensed in
- AK
- In the registry since
- 2024
Practice location Address checks out
18330 N 79th AveGlendale, AZ 85308-8343
Phone: (907) 378-0463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 7560699 (AK) |
|---|
Record details
| NPI number | 1164274940 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 4, 2024 |
| Last updated in NPPES | April 4, 2024 |
| Certification date | April 3, 2024 |
| Mailing address | 18330 N 79th Ave, Glendale, AZ 85308-8343 |
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