Kailey Davis, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-89238 Issued in TX

Practice address

1100 Circle Dr Ste 101
Fort Worth, TX 76119-8111

Phone

(817) 566-1100

Fax

(214) 221-0069

NPI assigned

Jun 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Autistic Treatment Center Inc

  • Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1932455284
  NPD (past)
• Autistic Treatment Center, Inc.

  • Behavior Analyst
  • Fort Worth, TX
  • NPI 1184367708
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1760043319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 METRIC DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435514",
            "telephone_number": "469-341-0104",
            "fax_number": "214-221-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CIRCLE DR STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761198111",
            "telephone_number": "817-566-1100",
            "fax_number": "214-221-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAILEY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-19-89238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-19-89238",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.atcoftexas.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "address_1": "1100 Circle Dr Ste 101",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761198111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jerry Thomas Davis, DO
• Jessica Nichole Davis
• Jessicah Amber Davis, NNP
• Jonte' Davis
• Julie Davis, PA-C, RD, LD
• Kaitlyn McKenzie Davis, M.S., CCC-SLP
• Kalee Ann Davis
• Kametha Davis
• Kamyra S Davis
• Katlyn Danae Davis, OTD, OTR

• Behavior Technician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Behavior Technician in Texas

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

Verify at the official NPI Registry.