Active NPI
Levi Randall Davis Jr., RBT
- Behavior Technician
- Logansport, IN
National Provider Identifier
1194535484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 719 Spencer St
Logansport, IN 46947-3583 - Phone
- (765) 434-2588
- NPI assigned
- Jan 9, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Behavior Analyst
- Kokomo, IN
- NPI 1871088369
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Behavioral Servies, LLC | Past | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | IN | Primary |
Addresses
Primary practice location
719 Spencer St
Logansport, IN 46947-3583
Mailing address
2900 S Dixon Rd
Kokomo, IN 46902-2997
Phone (765) 210-1284
Other practice location 1
2900 S Dixon Rd
Kokomo, IN 46902-2997
Phone (765) 210-1284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BACB1167064 | Other | IN | BEHAVIOR ANALYST CERTIFICATION BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Catalyst | Hope Behavioral Services LLC |
NPI Registry JSON
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1194535484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469022997",
"telephone_number": "765-210-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 SPENCER ST",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469473583",
"telephone_number": "765-434-2588"
}
],
"practiceLocations": [
{
"address_1": "2900 S Dixon Rd",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469022997",
"country_code": "US",
"telephone_number": "765-210-1284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "LEVI",
"middle_name": "RANDALL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "BACB1167064",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Catalyst",
"affiliation": "Y",
"affiliationName": "Hope Behavioral Services LLC",
"address_1": "719 Spencer St",
"city": "Logansport",
"state": "IN",
"country_code": "US",
"postal_code": "469473583",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.