Active NPI
Aubree A Davis
- Behavior Technician
- Crestview, FL
National Provider Identifier
1538710108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4100 S Ferdon Blvd
Crestview, FL 32536-5252 - Phone
- (850) 362-6824
- Fax
- (850) 362-6824
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | FL | Primary |
Addresses
Primary practice location
4100 S Ferdon Blvd
Crestview, FL 32536-5252
Mailing address
103 Lewis St
Fort Walton Beach, FL 32547-3142
Phone (850) 362-6824
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Expectations Inc. | 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.
-
- Multi-Specialty Clinic/Center
- Fort Walton Beach, FL
- NPI 1114278686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1538710108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 LEWIS ST",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325473142",
"telephone_number": "850-362-6824",
"fax_number": "850-362-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 S FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325365252",
"telephone_number": "850-362-6824",
"fax_number": "850-362-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AUBREE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.