Most Relevant Information
Provider Data
| NPI Number: | 1003553736 |
| Provider Name: | KRISTIN DAVIS MA, BSL |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | BH005886 |
Most Important Dates
| Enumeration Date: | 05/15/2022 |
| Last Updated: | 05/15/2022 |
Provider Practice Location
390 WATERLOO BLVD STE 120
EXTON
PA
193412624
Practice Location Phone/Fax
| Phone: | 6103636499 |
| Fax: |
Provider Mailing Location
410 N PRINCE ST
LANCASTER
PA
176033010
Provider Mailing Phone/Fax
| Phone: | 7175607917 |
| Fax: | 7175606452 |