Jenna Davis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

10313 Aboite Center Rd
Fort Wayne, IN 46804-5435

Phone

(260) 459-6040

NPI assigned

Dec 15, 2015

Sex

Female

Sole proprietor

No

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

Locations

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.

• Children'S Autism Center

  • Clinic/Center
  • Fort Wayne, IN
  • NPI 1194180117
  NPD
• Children'S Autism Center, Inc

  • Developmental Disabilities Clinic/Center
  • Fort Wayne, IN
  • NPI 1215105663
  NPD

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1902261167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 ABOITE CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045435",
            "telephone_number": "260-459-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 ABOITE CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045435",
            "telephone_number": "260-459-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Davis
• Felicity Davis
• Gabrielle Davis
• Hannah Elizabeth Davis, PHARMD
• Jazlynn N Davis
• Jerry Eugene Davis, PH.D.
• Jessca Marie Davis
• Joy Davis
• Julianna Davis, LAT, ATC
• Jurnee-Len Davis

• Behavior Analyst in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.