Lisa Davidson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT25410303 Issued in MD

Practice address

741 G St
Pasadena, MD 21122-4507

Phone

(443) 848-7640

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Demay Former name

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": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1104631530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 G ST",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224507",
            "telephone_number": "443-848-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 G ST",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224507",
            "telephone_number": "443-848-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LISA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT25410303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DEMAY",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chackmukal V Cyriac, M.D.
• Kali D'Amato
• Angelica Dario
• Kinnari Darji, CRNP
• Rachel Ann Darling
• Olayinka Davies
• Abby Davis, CRNP
• Elizabeth Marie Dean, RBT
• Deborja & Perez-Alard P.a.
• Christopher L Deborja, M.D.

• Behavior Technician in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.