Individual provider Active NPI

Takeithaya Q Davis

  • Behavior Analyst
  • Marlborough, MA
National Provider Identifier
1851967277
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-90952 Issued in GA
Practice address
225 Cedar Hill St
Marlborough, MA 01752-5900
Phone
(857) 829-4040
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-26-90952 GA Primary
Behavior Technician 106S00000X RBT-21-169-167 GA

Addresses

Primary practice location

225 Cedar Hill St
Marlborough, MA 01752-5900

Mailing address

1859 Petite LN
Lithonia, GA 30058-7835
Phone (678) 920-1601

Other practice location 1

1640 Powers Ferry Rd SE
Marietta, GA 30067-5491
Phone (404) 474-4054

Other practice location 2

1750 Beaver Ruin Rd Ste 500
Norcross, GA 30093-2813
Phone (855) 772-8847

Other practice location 3

1143 West Ave SW
Conyers, GA 30012-5280
Phone (888) 517-8377

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

LicenseStateTypeSpecialty
RBT-21-169-167GAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1851967277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 PETITE LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587835",
            "telephone_number": "678-920-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CEDAR HILL ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525900",
            "telephone_number": "857-829-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Powers Ferry Rd SE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300675491",
            "country_code": "US",
            "telephone_number": "404-474-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 Beaver Ruin Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300932813",
            "country_code": "US",
            "telephone_number": "855-772-8847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1143 West Ave SW",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300125280",
            "country_code": "US",
            "telephone_number": "888-517-8377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TAKEITHAYA",
        "middle_name": "Q",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-26-90952",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-21-169-167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.