Antwanette Davis
Individual provider Active NPI Behavior Technician · Coffeyville, KS
NPI 1689319600 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1689319600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2404 W 8TH St
Coffeyville, KS 67337-2931 - Phone
- (913) 213-0676
- NPI assigned
- May 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond the Individual | Current |
Accepting new patients | |
| Dr Ostmeyer LLC | Behavior Technician | Current |
Accepting new patients |
Locations
2404 W 8th St
Coffeyville, KS 67337
Phone (620) 330-9036
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2404 W 8TH St
Coffeyville, KS 67337-2931
Mailing address
PO Box 860063
Shawnee, KS 66286-0063
Phone (913) 213-0676
Other providers in Coffeyville, KS
- Timothy Cosgrove
- County of Montgomery
- Cynthia Marie Dale
- Tina Daniel
- David C. Bumgarner, D.C., P.a.
- Savana Debo
- Alan French Defever
- Elizabeth Dixon
- Rebecca Dobbins
- Donald C White MD PA
All providers in Coffeyville, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.