Avery Marie Davis
Individual provider Active NPI Behavior Technician · Fort Lupton, CO
NPI 1124820097 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1124820097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 236 Park Ave
Fort Lupton, CO 80621-1928 - Phone
- (303) 501-4875
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
236 Park Ave
Fort Lupton, CO 80621-1928
Mailing address
236 Park Ave
Fort Lupton, CO 80621-1928
Phone (303) 501-4875
Other providers in Fort Lupton, CO
- La Tisha Cook
- Ysell D Cordoba
- County of Weld
- Krista Lynnette Cowan
- Crestline Counseling
- Jaclyn A Davis
- Deborah Green MD PC
- Theresa S Doi
- Dennis Dominguez
- Sarah Eggert
All providers in Fort Lupton, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.