Individual provider Active NPI

Sherwin Andrew Davis, M.ED,BCBA,LBA

  • Behavior Analyst
  • Midlothian, VA
National Provider Identifier
1245106830
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-2583300 Issued in VA
Practice address
4100 Price Club Blvd
Midlothian, VA 23112-3379
Phone
(804) 674-8888
NPI assigned
Oct 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 1-2583300 VA Primary

Addresses

Primary practice location

4100 Price Club Blvd
Midlothian, VA 23112-3379

Mailing address

3604 Garland Ave
Richmond, VA 23222-1910
Phone (804) 484-5094

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
Master of Education

State licenses

LicenseStateTypeSpecialty
1-2583300VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1245106830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 GARLAND AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232221910",
            "telephone_number": "804-484-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PRICE CLUB BLVD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123379",
            "telephone_number": "804-674-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHERWIN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "M.ED,BCBA,LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-2583300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.