Luis Eduardo Davila, M.A

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3831 W Vine St Ste 60
Kissimmee, FL 34741-4650

Phone

(407) 559-4854

Fax

(321) 332-7799

NPI assigned

Jan 25, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1881965697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SAN JUAN CIR APT 322",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464898",
            "telephone_number": "407-653-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 W VINE ST STE 60",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414650",
            "telephone_number": "407-559-4854",
            "fax_number": "321-332-7799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle El Torito R1",
            "address_2": "Colinas Metropolitanas",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00969",
            "country_code": "US",
            "telephone_number": "787-232-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "3705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anitta Susan David
• Pamela Davidson-Gordon
• Sarah Davies, M.S. CCC-SLP
• Nayda Ivelisse Davila Fuentes, SLPA
• Grace Davila, MSW
• Lenora Seed Davis, MSW, LCSW
• Mary L Davis, APRN
• Risa Davis, MS. ED. PSY
• Samuel Davis
• Sandra Goodrich Davis, LMHC

• Behavior Technician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.