Active NPI
Quenesina Yioma Davis, BCABA
- Assistant Behavior Analyst
- Spartanburg, SC
National Provider Identifier
1417599697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 200 Elford CT
Spartanburg, SC 29306-3250 - Phone
- (864) 476-7400
- NPI assigned
- Oct 9, 2019
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
200 Elford CT
Spartanburg, SC 29306-3250
Mailing address
751 E Georgia Rd
Woodruff, SC 29388-8787
Phone (864) 476-7400
Other practice location 1
751 E Georgia Rd
Woodruff, SC 29388-8787
Phone (864) 476-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720341084 | Medicaid | SC |
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": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1417599697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 E GEORGIA RD",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293888787",
"telephone_number": "864-476-7400",
"fax_number": "864-476-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ELFORD CT",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293063250",
"telephone_number": "864-476-7400"
}
],
"practiceLocations": [
{
"address_1": "751 E Georgia Rd",
"address_purpose": "LOCATION",
"city": "Woodruff",
"state": "SC",
"postal_code": "293888787",
"country_code": "US",
"telephone_number": "864-476-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "QUENESINA",
"middle_name": "YIOMA",
"name_prefix": "Ms.",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720341084",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.