Provider Demographics
NPI:1851848733
Name:DAVIS-PLAIR, NAOMI
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:DAVIS-PLAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 W 13 MILE RD
Mailing Address - Street 2:APT. C
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6653
Mailing Address - Country:US
Mailing Address - Phone:313-516-3399
Mailing Address - Fax:
Practice Address - Street 1:4100 W 13 MILE RD
Practice Address - Street 2:APT. C
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6653
Practice Address - Country:US
Practice Address - Phone:313-516-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst