Taylor Davis
Individual provider Active NPI Behavior Technician · Bentonville, AR
NPI 1972198489 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1972198489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302 - Phone
- (479) 802-4798
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302
Mailing address
2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302
Phone (479) 802-4798
Other providers in Bentonville, AR
- Bailey Davis
- Kelly Anne Davis
- Kenneth Wayne Davis
- Letara Davis
- Manda J Davis
- Tonya Davis
- Tresa Davis
- William G. Davis II
- Sharon L Davison
- Megan Renea Day
All providers in Bentonville, AR · Behavior Technician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.