Active NPI
Niomi Davenport, BCBA
- Behavior Analyst
- Slidell, LA
National Provider Identifier
1750177838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-962
- Practice address
- 2217 2ND St
Slidell, LA 70458-3611 - Phone
- (985) 445-1043
- Fax
- (504) 553-1113
- NPI assigned
- Apr 16, 2025
- 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 | L-962 | LA | Primary |
Addresses
Primary practice location
2217 2ND St
Slidell, LA 70458-3611
Mailing address
2217 2ND St
Slidell, LA 70458-3611
Phone (985) 445-1043
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-962 | LA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1750177838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 2ND ST",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583611",
"telephone_number": "985-445-1043",
"fax_number": "504-553-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 2ND ST",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583611",
"telephone_number": "985-445-1043",
"fax_number": "504-553-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "NIOMI",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-16",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.