Active NPI
Kaleigh Defreece Davis, M.S., BCBA
- Behavior Analyst
- Memphis, TN
National Provider Identifier
1447736244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1619132917
- Practice address
- 4188 Hilldale Ave
Memphis, TN 38117-1628 - Phone
- (901) 626-7723
- NPI assigned
- Jul 14, 2018
- 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 | 1619132917 | TN | Primary |
Addresses
Primary practice location
4188 Hilldale Ave
Memphis, TN 38117-1628
Mailing address
4188 Hilldale Ave
Memphis, TN 38117-1628
Phone (901) 626-7723
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1619132917 | TN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midsouth Therapy Group | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Memphis, TN
- NPI 1164057279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1447736244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4188 HILLDALE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381171628",
"telephone_number": "901-626-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4188 HILLDALE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381171628",
"telephone_number": "901-626-7723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KALEIGH",
"middle_name": "DEFREECE",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-14",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1619132917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.