Candace Ayana Coleman-Davis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

2578097 Issued in OR

Practice address

15688 SW Bristlecone Way
Tigard, OR 97223-2689

Phone

(503) 962-9664

NPI assigned

Feb 20, 2018

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

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1124528757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41521 W 11 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15688 SW BRISTLECONE WAY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232689",
            "telephone_number": "503-962-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN-DAVIS",
        "first_name": "CANDACE",
        "middle_name": "AYANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "2578097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Cody, FNP
• Robinann Kathleen Cogburn, PH.D.
• Sean Cohen
• Nathan Cokeley, D.C.
• Savannah Lynn Cole
• Daniel J. Coleman
• Jesseka Jean Collins I
• Lovonna Collins
• Scott A.B. Collins, M.D.
• Sherri Ann Colo'N, PSS, CRM

• Behavior Technician in Tigard, OR
• Providers in Tigard, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.