MR. MATTHEW ALAN DAVIDSON


Address: 4055 N Park Loop Ste 1000, Memphis, TN 38152-4236
Phone: 9016783209

MR. MATTHEW ALAN DAVIDSON (NPI# 1144562372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144562372
Entity Type Individual
Full Name MR. MATTHEW ALAN DAVIDSON
Other Name MATTHEW ALAN DAVISON
Credential BCBA, LBA
Practice Address 4055 N Park Loop Ste 1000
Memphis
TN 38152-4236
Mailing Address 150 Timber Creek Dr Ste 2
Cordova
TN 38018-4236
Practice Telephone 9016783209
Practice Fax Number 9016785630
Mailing Telephone 9012480595
Enumeration Date 2013-03-26
Last Update Date 2020-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103K00000X Behavioral Analyst 1-13-13263 Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst LBA0000000387 TN Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 160010 MS Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 1-13-13263 MS Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
150 Timber Creek Dr Ste 2, Cordova, TN 380184236 9012480595

Other Providers MATTHEW DAVIDSON

NPI Name Taxonomy Address Enumeration
1629590880 Matthew S Davidson Dentist 5611 Sheldon Rd, Tampa, FL 33615-3532 2017-07-10
1427307073 Matthew Philip Davidson Physical Therapist 5510 E State St, Rockford, IL 61108-2381 2012-08-29
1790042752 Matthew Davidson Pharmacist 4502 E 41st St, Suite 2h23, Tulsa, OK 74135-2536 2012-04-16
1255624508 Matthew Lee Davidson Chiropractor 1809 Heritage Hills Dr, Washington, MO 63090-4624 2011-05-19
1689663775 Matthew D Davidson Surgery 875 S Arlington Ave, Harrisburg, PA 17109-5004 2005-10-20

Office Location

Street Address 4055 N PARK LOOP STE 1000
City MEMPHIS
State TN
Zip Code 38152-4236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346420809 Jeffrey Brian Smith Psychologist 4055 N Park Loop Ste 1000, Memphis, TN 38152-4869 2007-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427603554 University of Memphis Psychologist 4055 North Park Loop, Suite 1000, Memphis, TN 38152 2019-08-06
1952911455 Brianna Amaba Counselor 3675 Alumni Ave, Memphis, TN 38152-0001 2020-08-09
1215415450 Lawrence Reynolds Specialist/Technologist 1115 East Getwell Loop Bill Jmurphy Football Complex, Memphis, TN 38152-0001 2018-07-31
1518309202 Southern College of Optometry Optometrist 212 Rawlins Service Ct, Room 201, Memphis, TN 38152-0001 2013-07-23
1144559899 Nila Jean Lawson Clinical Nurse Specialist 200 Hudson, Memphis, TN 38152-0001 2009-12-09
1396953071 Robert Joseph Maichrowicz Psychologist 214 Wilder Tower, University of Memphis, Memphis, TN 38152-0001 2007-05-18
1861864530 Amy Polumbo Nabors Speech-Language Pathologist 4055 N Park Loop, Memphis, TN 38152-1750 2015-10-21
1922236546 Robert Allen Neimeyer Psychologist Department of Psychology 400 Innovation Dr, University of Memphis, Memphis, TN 38152-3230 2009-06-23
1477753564 Meghan Eileen Mcdevitt-murphy Psychologist 202 Psychology Bldg, University of Memphis, Memphis, TN 38152-3230 2007-07-18
1255665238 University of Memphis Clinic/Center 200 Hudson Health Ctr, Memphis, TN 38152-3320 2009-09-24
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023644366 Jaded Lotus Aba LLC Behavioral Analyst 3834 Ginkgo Ln Apt 206, Memphis, TN 38125-6538 2020-03-18
1285274340 Carolyn Timm Behavioral Analyst 6685 Quince Rd Ste 120, Memphis, TN 38119-8037 2020-01-07
1700420056 Aba Therapy & Beyond Behavioral Analyst 5115 Covington Way, Suite 5, Memphis, TN 38134-5619 2019-10-30
1225695729 Annie Cornelius Behavioral Analyst 4005 N Park Loop, Memphis, TN 38152-4220 2019-05-21
1043875602 Rachel Carolyn Joyner Behavioral Analyst 5349 Estate Office Dr Ste 2, Memphis, TN 38119-3619 2019-05-08
1730647082 Shanice P Claybrooks Behavioral Analyst 7112 Winding Path Cv, Memphis, TN 38133-6116 2019-03-06
1336603117 Trudy Brewer Behavioral Analyst 1570 Lightwood Cv, Memphis, TN 38134-7426 2019-01-26
1407358609 Momentum Aba Therapy Behavioral Analyst 2125 Leichester Ln, Memphis, TN 38134-6971 2018-03-03
1710494034 Sabrina Aquinn Wilson Behavioral Analyst 1197 Tanglewood St, Memphis, TN 38114-6742 2018-01-08
1417469628 Jojuan Fullwiley Behavioral Analyst 6685 Quince Rd Ste 116, Memphis, TN 38119 2017-10-27
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38152

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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