Individual provider Active NPI

Avoa Henry Davis

  • Behavior Technician
  • Walnut Creek, CA
National Provider Identifier
1386417574
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
313 Lennon LN Ste 100
Walnut Creek, CA 94598-2460
Phone
(925) 465-1585
Fax
(925) 433-6555
NPI assigned
Oct 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

313 Lennon LN Ste 100
Walnut Creek, CA 94598-2460

Mailing address

654 Belfonte St
Oakley, CA 94561-1069
Phone (510) 255-1710

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

OrganizationSpecialtyStatusNew patients
Behavior Treatment & Analysis CurrentSince Nov 5, 2023 Accepting new patients

Locations

313 Lennon Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 278-6489

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.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1386417574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 BELFONTE ST",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945611069",
            "telephone_number": "510-255-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 LENNON LN STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982460",
            "telephone_number": "925-465-1585",
            "fax_number": "925-433-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY DAVIS",
        "first_name": "AVOA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.