Carolin Davis, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11622830 Issued in FL

Practice address

5306 Creekmur Dr
Lakeland, FL 33812-4012

Phone

(863) 777-0640

NPI assigned

Jun 27, 2016

Last updated

Feb 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• I Love ABA, LLC

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1679264733
  NPD Authorized official
• Applied Behavioral Learning Experiences, Inc

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1760627905
  NPD (past)
• Applied Behavioral Learning Experiences, Inc.

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1831549674
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1073964474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 CREEKMUR DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124012",
            "telephone_number": "863-777-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 CREEKMUR DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124012",
            "telephone_number": "863-777-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CAROLIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "11622830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019674300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pam Davila, MA CCC-SLP
• Toi Davis-Washington, APRN
• Altovise L Davis
• Amanda Lueshen Davis, MD
• Bradley Carl Davis, M.D.
• Donald M Davis, M.D.
• Ellen Davis
• Heidi Davis
• Jermaine Davis
• John William Davis, CRNA

• Behavior Analyst in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.