Individual provider Active NPI

Courtney Storm Davis, BCBA

  • Behavior Analyst
  • Cabot, AR
National Provider Identifier
1013721927
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-84068 Issued in AR
Practice address
207 Plaza Blvd
Cabot, AR 72023-3749
Phone
(501) 628-5580
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-84068 AR Primary

Addresses

Primary practice location

207 Plaza Blvd
Cabot, AR 72023-3749

Mailing address

207 Plaza Blvd
Cabot, AR 72023-3749
Phone (501) 628-5580

Other names 1

  • Courtney Storm Ellis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nash Therapeutic Services, LLC Behavior Analyst CurrentSince Feb 9, 2025 Accepting new patients

Locations

4806 Rixie Rd
North Little Rock, AR 72117
Phone (501) 500-2111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1013721927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PLAZA BLVD",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233749",
            "telephone_number": "501-628-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PLAZA BLVD",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233749",
            "telephone_number": "501-628-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "COURTNEY",
        "middle_name": "STORM",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AR",
            "license": "1-25-84068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "ELLIS",
            "middle_name": "STORM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.