Individual provider Active NPI

Nautica Najaa Davis

  • Behavior Analyst
  • Warren, MI
National Provider Identifier
1346891090
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
23835 Methuen Ave Apt Suite
Warren, MI 48091-1855
Phone
(586) 872-0751
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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 Primary

Addresses

Primary practice location

23835 Methuen Ave Apt Suite
Warren, MI 48091-1855

Mailing address

23835 Methuen Ave Apt Suite
Warren, MI 48091-1855
Phone (586) 872-0751

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Warren

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1346891090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23835 METHUEN AVE APT SUITE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911855",
            "telephone_number": "586-872-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23835 METHUEN AVE APT SUITE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911855",
            "telephone_number": "586-872-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NAUTICA",
        "middle_name": "NAJAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Warren",
            "affiliation": "N",
            "address_1": "23835 Methuen Ave Apt Suite",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480911855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.