Kiara Davis

Individual provider Active NPI Behavior Technician · Belcamp, MD

NPI 1942944996 · NPPES record last updated Apr 26, 2022

Key facts

NPI
1942944996
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1200 Creamery LN
Belcamp, MD 21017-1499
Phone
(443) 300-6362
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Humanim Mental Health Services LLC Behavior Technician Current
since Dec 13, 2022
Accepting new patients

Locations

1200 Creamery Ln
Belcamp, MD 21017
Phone (443) 300-6362

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1200 Creamery LN
Belcamp, MD 21017-1499

Mailing address

1200 Creamery LN
Belcamp, MD 21017-1499
Phone (443) 300-6362

Other providers in Belcamp, MD

All providers in Belcamp, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.