Lakisha Davis
Individual provider Active NPI Behavior Technician · Bayport, NY
NPI 1801769476 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1801769476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 325 1St Ave FL 1
Bayport, NY 11705-1303 - Phone
- (631) 201-7865
- NPI assigned
- Sep 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
325 1St Ave FL 1
Bayport, NY 11705-1303
Mailing address
277 E Amador Ave Ste 101
Las Cruces, NM 88001-3675
Phone (505) 392-3482
Other providers in Bayport, NY
- Kara Constantine
- Carolyn Marie Cook
- CVS Albany LLC
- Michael Dagro
- Jacqueline Danna
- Anthony Day
- Michael Degnan
- Janette Elizabeth Delgado
- Maryann Deluca-Greenlaw
- Nirmala Delvicario
All providers in Bayport, NY · Behavior Technician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.