DEIDRE DAVIS (NPI# 1861978298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861978298 |
| Entity Type | Individual |
| Full Name | DEIDRE DAVIS |
| Practice Address |
1231 10th St Daytona Beach FL 32117-3237 |
| Practice Telephone | 6362889330 |
| Mailing Telephone | 6362889330 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386957165 | Deidre Marie Davis | Speech-Language Pathologist | 22 Park Pl, Mount Vernon, NY 10552-2321 | 2010-07-21 |
| 1134522311 | Deidre Davis | Technician, Other | 15565 Northland Dr W Ste 411, Southfield, MI 48075-5317 | 2014-10-02 |
| 1851664676 | Deidre Davis | Technician, Pathology | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2012-02-10 |
| 1174854467 | Deidre Nicole Davis | Social Worker | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2010-01-26 |
| Street Address |
1231 10TH ST |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303210 | Taliyah Daniel Nowlin | Behavior Technician | 1128a Beville Rd Fl 32114, Daytona Beach, FL 32114-5743 | 2020-07-22 |
| 1861013377 | Amanda Ruth Stockdale | Behavior Technician | 109 Manatee Xing Apt 306, Daytona Beach, FL 32119-1479 | 2020-05-06 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1548892706 | Ines Bonila | Behavior Technician | 140 S Beach St Ste 32114, Daytona Beach, FL 32114-4472 | 2020-02-06 |
| 1386284776 | Carolyn Sapp | Behavior Technician | 875 Derbyshire Rd Apt 263, Daytona Beach, FL 32117-3973 | 2020-01-14 |
| 1073151783 | Devon Jeffrey Robinson I | Behavior Technician | 1628 Piccadilly Dr, Daytona Beach, FL 32117-3828 | 2019-12-12 |
| 1588201610 | Jordan Rogers | Behavior Technician | 622 Fremont Ave, Daytona Beach, FL 32114-6071 | 2019-12-09 |
| 1033614391 | Bernadette Shaena Flake | Behavior Technician | 1120 Beville Rd Ste 8, Daytona Beach, FL 32114-5748 | 2018-03-28 |
| 1730680448 | Quaneria Carter | Behavior Technician | 1128 Beville Rd Unit 2, Daytona Beach, FL 32114-5747 | 2018-02-27 |
| 1407363039 | Jane Marie Duguay | Behavior Technician | 517 S Palmetto Ave Apt 1, Daytona Beach, FL 32114-4923 | 2018-01-04 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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| 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.