Individual provider Active NPI

Bryan James Davey, PHD, BCBA

  • Behavior Analyst
  • Gilbert, AZ
National Provider Identifier
1124214432
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-23 Issued in AZ
Practice address
3740 E Palo Verde St
Gilbert, AZ 85296-1857
Phone
(480) 455-0987
Fax
(480) 898-7419
NPI assigned
Sep 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-23 AZ Primary

Addresses

Primary practice location

3740 E Palo Verde St
Gilbert, AZ 85296-1857

Mailing address

3740 E Palo Verde St
Gilbert, AZ 85296-1857
Phone (480) 455-0987

Other identifiers 1

IdentifierTypeStateIssuer
260323643-85233-A001OtherAZTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
BA-23AZMDBehavioral Analyst

Interoperability endpoints

  • Direct secure messaging: bdavey648866@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1124214432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 E PALO VERDE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961857",
            "telephone_number": "480-455-0987",
            "fax_number": "480-898-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 E PALO VERDE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961857",
            "telephone_number": "480-455-0987",
            "fax_number": "480-898-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "BRYAN",
        "middle_name": "JAMES",
        "credential": "PHD, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "260323643-85233-A001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.