Isiah Davis IV

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

13918 69TH St N
West Palm Beach, FL 33412-1970

Phone

(954) 579-9378

NPI assigned

Dec 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Royal Paradise Cente LLC

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1568952133
  NPD (past)
• Royal Paradise Center

  • Developmental Disabilities Clinic/Center
  • West Palm Beach, FL
  • NPI 1356860092
  NPD (past)

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1780190488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13918 69TH ST N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13918 69TH ST N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121970",
            "telephone_number": "954-579-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ISIAH",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela N Davis, MM, MTBC
• Ariana Dustine Davis
• Brittany Davis, LMFT
• Florenzia Watson Davis, PHD, MS, RD, LD/N
• Hillary Neal Davis
• Janine S Davis
• Jazmine Davis
• Lenora Davis
• Lisa Davis, PHARMD
• Lorisha Davis

• Behavior Technician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.