Active NPI
Takeithaya Q Davis
- Behavior Analyst
- Marlborough, MA
National Provider Identifier
1851967277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-90952
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-169-167 | GA | MD | Behavior 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.