Jodie Davenport, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7346

Practice address

1701 Aldersgate Rd Ste 1
Little Rock, AR 72205-6675

Phone

(501) 389-8390

NPI assigned

Dec 10, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1972806164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 ALDERSGATE RD STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056675",
            "telephone_number": "501-389-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 Bee Cave Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465588",
            "country_code": "US",
            "telephone_number": "512-328-5599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 E Nasa Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "32901",
            "country_code": "US",
            "telephone_number": "321-372-6813",
            "fax_number": "321-764-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "JODIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-10-7346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102622700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Davari, AGACNP-BC
• Davenport Dental, LLC
• Clarissa Davenport, APRN
• Hannah Davenport, APRN
• James Michael Davenport, D.D.S.
• Shalana Davenport
• Tracy Lynn Davenport, CRNA
• Barrett Daves
• David Cole, DDS and Arianna Cole, DDS, PLLC
• David F. Neale, M.D., PLLC

• Behavior Analyst in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.