Active NPI
Davina Demetria Mitchell
- Behavior Technician
- Prairie View, TX
National Provider Identifier
1760228282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 20703 Emerald St
Prairie View, TX 77484-4607 - Phone
- (979) 201-0037
- NPI assigned
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | NM | Primary |
Addresses
Primary practice location
20703 Emerald St
Prairie View, TX 77484-4607
Mailing address
20703 Emerald St
Prairie View, TX 77484-4607
Phone (979) 201-0037
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1760228282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20703 EMERALD ST",
"city": "PRAIRIE VIEW",
"state": "TX",
"postal_code": "774844607",
"telephone_number": "979-201-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20703 EMERALD ST",
"city": "PRAIRIE VIEW",
"state": "TX",
"postal_code": "774844607",
"telephone_number": "979-201-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "DAVINA",
"middle_name": "DEMETRIA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie View, TX
- Christopher Ethan Bartholomew, D.D.S.
- Glenn Edward Berry, M.D.
- Fort Bend Family Health Center, Inc.
- Maryellen Hole
- Labelle Health Care Services
- Cosmas Asonye Nwogwugwu
- Owens Franklin Health Center, Prairie View a&M University
- Prairie View a&M University
- Ruth Smith, RN, WHNP
- Star of Texas Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.