Active NPI
Kierra Davenport
- Behavior Analyst
- Chicago Heights, IL
National Provider Identifier
1275297400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1005 W End Ave
Chicago Heights, IL 60411-2742 - Phone
- (708) 755-8030
- NPI assigned
- Oct 25, 2021
- Last updated
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
1005 W End Ave
Chicago Heights, IL 60411-2742
Mailing address
1005 W End Ave
Chicago Heights, IL 60411-2742
Phone (708) 755-8030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1275297400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W END AVE",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604112742",
"telephone_number": "708-755-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W END AVE",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604112742",
"telephone_number": "708-755-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "KIERRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.