Susan Jane Davidson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

S081115131 Issued in OK

Practice address

2525 NW Expressway
Suite 624-a
Oklahoma City, OK 73112-7227

Phone

(405) 242-5070

Fax

(405) 242-5071

NPI assigned

Sep 21, 2010

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1962710202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 WARWICK DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164210",
            "telephone_number": "580-471-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW EXPRESSWAY",
            "address_2": "SUITE 624-A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127227",
            "telephone_number": "405-242-5070",
            "fax_number": "405-242-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "S081115131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Quy Inc
• David T Rothwell M D PLLC
• Amber Davidson
• Corey James Davidson
• Malacha Ruth Davidson, C-PRSS
• Ansley Lauren Davies
• Sherrie L Davis Bennett
• Rebecca Diane Davis Holland, LPC
• Davis Urology, PLLC
• Jyme Kay Davis Wilson

• Behavior Analyst in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.