Most Relevant Information
Provider Data
| NPI Number: | 1003503178 |
| Provider Name: | SHONQUEA ARIANNA DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2023 |
| Last Updated: | 04/19/2023 |
Provider Practice Location
1140 PERRY AVE
BREMERTON
WA
983104929
Practice Location Phone/Fax
| Phone: | 3609790290 |
| Fax: |
Provider Mailing Location
1140 PERRY AVE
BREMERTON
WA
983104929
Provider Mailing Phone/Fax
| Phone: | 3609790290 |
| Fax: |