Kenitra McCall Davis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11921 Bournefield Way # a-1
Silver Spring, MD 20904-7815

Phone

(301) 578-2300

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1013616150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 DECEMBER WAY APT 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043626",
            "telephone_number": "301-693-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 BOURNEFIELD WAY # A-1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047815",
            "telephone_number": "301-578-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENITRA",
        "middle_name": "MCCALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Davis, LMT
• Elaine Claire Davis, CCC-SLP
• Elisabeth Keegan Davis, MD
• Hannah M Davis
• Jillian Parry Davis, M.A., CCC-SLP
• Luke Davis, M.S., CCC-SLP
• Michael Charles Davis, M.D., PH.D.
• Paul Richard Davis, P.T.
• Rebecca Davis, MA CF SLP
• Supriya Juliana Davis, MD

• Behavior Technician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.