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General NPI Number Information
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NPI Number | 1194698126
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Entity Type | Individual
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Provider Name | ARIEL LIONAE DAVIS
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 4410 W 13 MILE RD
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City | ROYAL OAK
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State | MI
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Zip | 48073-6515
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Country | US
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Telephone | 248-549-4339
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Fax |
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Provider Business Mailing Address
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Address Line | 14062 3RD ST
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City | HIGHLAND PARK
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State | MI
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Zip | 48203-3717
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Country | US
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Telephone | 313-955-2736
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | D120071522896
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License Number State | MI
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