Maria Sergeevna Davydova

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

420 S State Road 7 Ste 174
Royal Palm Beach, FL 33414-4306

Phone

(561) 568-9367

Fax

(561) 247-7860

NPI assigned

Jul 31, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• ABA Super Kids LLC

  • Behavior Analyst
  • Boynton Beach, FL
  • NPI 1073266490
  NPD Authorized official
• Square One Behavioral Services Inc.

  • Speech-Language Pathologist
  • Royal Palm Beach, FL
  • NPI 1558076604
  NPD

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1114335452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 SE DIXIE HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976826",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S STATE ROAD 7 STE 174",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144306",
            "telephone_number": "561-568-9367",
            "fax_number": "561-247-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVYDOVA",
        "first_name": "MARIA",
        "middle_name": "SERGEEVNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coty M Daniels
• Barbara Lisandra Darias Rosell
• Jordan Paul Davis
• Michael E Davis, D.C.
• Michelle L Davis, LCSW
• Bryan M Dawkins, MD
• Sandra Dawkins, REGISTERED NURSE
• Monica Daza, SA-C
• Nathalie C De Fabrique, PSY D
• Anghelina De Los Santos Aquino

• Assistant Behavior Analyst in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.