Individual provider Active NPI

Barbara Janine Davis, BCBA-D

  • Behavior Analyst
  • Fort Lauderdale, FL
National Provider Identifier
1659630101
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-6883 Issued in FL
Practice address
1790 SW 43Rd Way
Fort Lauderdale, FL 33317-5701
Phone
(855) 442-2454
Fax
(954) 206-7699
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA127 MD
Behavior Analyst 103K00000X 1-10-6883 FL Primary

Addresses

Primary practice location

1790 SW 43Rd Way
Fort Lauderdale, FL 33317-5701

Mailing address

1790 SW 43Rd Way
Fort Lauderdale, FL 33317-5701
Phone (855) 442-2454

Other identifiers 1

IdentifierTypeStateIssuer
021570000MedicaidFL

Other names 1

  • Barbara Janine Tomlian Former name

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

State licenses

LicenseStateTypeSpecialty
LBA127MDMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1659630101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SW 43RD WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333175701",
            "telephone_number": "855-442-2454",
            "fax_number": "954-206-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SW 43RD WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333175701",
            "telephone_number": "855-442-2454",
            "fax_number": "954-206-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BARBARA",
        "middle_name": "JANINE",
        "credential": "BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA127",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-10-6883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021570000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "TOMLIAN",
            "middle_name": "JANINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.