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Kimbrelle Davenport
NPI 1104589845 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5163 Roswell Rd
Atlanta, GA 30342 - Phone
- (404) 966-8524
- Organisation at this address
- Dogwood Autism Services, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia