Meshal Davis

Individual provider Active NPI Behavior Technician · Forest Park, IL

NPI 1992685382 · NPPES record last updated Sep 5, 2025

Key facts

NPI
1992685382
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-420735 (IL)
Practice address
7228 Circle Ave
Forest Park, IL 60130-1163
Phone
(630) 632-4350
NPI assigned
Sep 5, 2025
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

State licenses

LicenseStateTypeSpecialty
RBT-25-420735ILMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Behavior Analysis Group, LLC Behavior Technician Past
since Sep 8, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-420735 IL Yes

Addresses

Primary practice location

7228 Circle Ave
Forest Park, IL 60130-1163

Mailing address

7228 Circle Ave
Forest Park, IL 60130-1163
Phone (224) 478-2902

Other providers in Forest Park, IL

All providers in Forest Park, IL · Behavior Technician in Illinois

Sources for this page

Verify at the official NPI Registry.