Active NPI
Zach Davis, BT
- Behavior Technician
- Lansing, MI
National Provider Identifier
1386375384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2549 Jolly Rd Suite 380, Okemos, Mi 48864
Lansing, MI 48864 - Phone
- (844) 854-1116
- Fax
- (305) 846-9711
- NPI assigned
- Jun 21, 2022
- Last updated
- Jun 21, 2022
- Sex
- Male
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
2549 Jolly Rd Suite 380, Okemos, Mi 48864
Lansing, MI 48864
Mailing address
1500 Douglas Road Suite 230 Coral Gables, FL 33134
Coral Gables, FL 33134
Phone (844) 854-1116
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
- Bachelor of Theology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1386375384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 DOUGLAS ROAD SUITE 230 CORAL GABLES, FL 33134",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "844-854-1116",
"fax_number": "305-846-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2549 JOLLY RD SUITE 380, OKEMOS, MI 48864",
"city": "LANSING",
"state": "MI",
"postal_code": "48864",
"telephone_number": "844-854-1116",
"fax_number": "305-846-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ZACH",
"credential": "BT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.