Cherish Irulan Davis

Individual provider Active NPI Behavior Technician · Fernley, NV

NPI 1497420913 · NPPES record last updated Aug 16, 2021

Key facts

NPI
1497420913
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
150 E Main St
Fernley, NV 89408-7708
Phone
(775) 996-3890
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

150 E Main St
Fernley, NV 89408-7708

Mailing address

240 Booth St Apt L
Reno, NV 89509-1311
Phone (775) 996-3890

Other providers in Fernley, NV

All providers in Fernley, NV · Behavior Technician in Nevada

Sources for this page

Verify at the official NPI Registry.