Allen Vaughn Davis Jr., SOME COLLEGE

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

Q79966309 Issued in AZ

Practice address

15721 N Greenway Hayden Loop Ste 103
Scottsdale, AZ 85260-1776

Phone

(602) 362-4200

NPI assigned

May 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1093405771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15721 N GREENWAY HAYDEN LOOP STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601776",
            "telephone_number": "602-362-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 N 115th St Apt 117",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852594004",
            "country_code": "US",
            "telephone_number": "602-412-6602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALLEN",
        "middle_name": "VAUGHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "SOME COLLEGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "Q79966309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lee Davidson, LMT
• Toni Davie
• Callie Davies, M.D.
• Megan Davies, FNP
• Aaron Jonathan Davis, MD
• Amelia Ann Davis, M.D.
• Carrie Lynn Davis, M.D.
• Crystal I Davis, M.A., CCC-SLP
• Holly D Davis, APRN
• Jordyn Davis

• Behavior Technician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Behavior Technician in Arizona

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