Brian Davis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401000675 Issued in MI

Practice address

5242 Plainfield Ave NE Ste a
Grand Rapids, MI 49525

Phone

(616) 363-2200

Fax

(616) 363-5337

NPI assigned

Jan 30, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1033656913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 PLAINFIELD AVE NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251084",
            "telephone_number": "616-363-2200",
            "fax_number": "616-363-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 PLAINFIELD AVE NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-363-2200",
            "fax_number": "616-363-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Health Professions Bldg",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488590001",
            "country_code": "US",
            "telephone_number": "989-774-3904",
            "fax_number": "989-774-1891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCABA",
            "identifier": "0-16-7571",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amaria Ashton Davis
• Angela Davis
• Ashley Marie Davis, LLMSW
• Bonnie Davis, NP
• Bradley Earl Davis, MS, OTR/L
• Brooke T Davis, LMSW
• Cassidy Davis
• Catherine Colette Davis, D.O.
• Catina Charmaine Davis
• Christopher Ryan Davis, PA

• Behavior Analyst in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.