Active NPI
Jessica Kate Davis, MA, BCBA
- Behavior Analyst
- Carmel, IN
National Provider Identifier
1740672302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-17171
- Practice address
- 12650 Hamilton Crossing Blvd
Carmel, IN 46032-5400 - Phone
- (317) 249-2242
- NPI assigned
- Feb 19, 2015
- 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 | 1-14-17171 | IN | Primary |
Addresses
Primary practice location
12650 Hamilton Crossing Blvd
Carmel, IN 46032-5400
Mailing address
6034 Heath Valley Rd
Charlotte, NC 28210-4352
Phone (317) 249-2242
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1740672302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6034 HEATH VALLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104352",
"telephone_number": "317-249-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12650 HAMILTON CROSSING BLVD",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325400",
"telephone_number": "317-249-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JESSICA",
"middle_name": "KATE",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-14-17171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.