Avery Marie Davis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

236 Park Ave
Fort Lupton, CO 80621-1928

Phone

(303) 501-4875

NPI assigned

Mar 24, 2025

Last updated

Mar 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1124820097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 PARK AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211928",
            "telephone_number": "303-501-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 PARK AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211928",
            "telephone_number": "303-501-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AVERY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Tisha Cook, M.A., NCC., LPC
• Ysell D Cordoba, LPC
• County of Weld (Weld County Public Health South Clinic)
• Krista Lynnette Cowan, LPC, LAC
• Crestline Counseling
• Jaclyn A Davis, LCSW
• Deborah Green MD PC
• Laura Doanes, NP
• Theresa S Doi, PHYSCIAL THERAPIST
• Dennis Dominguez, RPH

• Behavior Technician in Fort Lupton, CO
• Providers in Fort Lupton, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.