BRANDY LEE DAVIS (NPI# 1487149266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487149266 |
| Entity Type | Individual |
| Full Name | BRANDY LEE DAVIS |
| Practice Address |
115 Rottingham Ct Ste A Edwardsville IL 62025-3677 |
| Practice Telephone | 2175258332 |
| Practice Fax Number | 6186925204 |
| Mailing Telephone | 2175258332 |
| Mailing Fax Number | 6186925204 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437697315 | Brandy Davis | Speech-Language Pathologist | 16012 Ne 93rd Way, Redmond, WA 98052-7546 | 2017-02-10 |
| 1770845505 | Brandy L Davis | Home Health Aide | 292 1/2 Hane Ave, Marion, OH 43302-5368 | 2012-06-07 |
| 1285241067 | Brandy Cheyenne Davis | Specialist/Technologist | 518 N Generals Blvd, Lincolnton, NC 28092-3500 | 2020-09-25 |
| 1770056368 | Brandy Davis | Nurse Practitioner | 2610 Lake Austin Blvd, Austin, TX 78703-4429 | 2019-01-07 |
| 1730419441 | Brandy Glynn Davis | Pharmacist | 1540 Main St, Sweet Home, OR 97386 | 2009-12-30 |
| 1881734010 | Brandy Sue Dee Davis | Registered Nurse | 403 E G St, Elizabethton, TN 37643-3223 | 2007-02-07 |
| 1629027313 | Brandy Alexis Davis | Family Medicine | 904 Holiday Dr, Suite 406, Forrest City, AR 72335-9183 | 2006-05-09 |
| Street Address |
115 ROTTINGHAM CT STE A |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025-3677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407357817 | Kelsey S Reichert | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2018-02-22 |
| 1811522451 | Alexander Joseph Smith | Behavioral Analyst | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2020-03-04 |
| 1073159463 | Lori J Tretter | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-11-21 |
| 1609419167 | Lauren M Tolan | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-10-28 |
| 1740831312 | Json S West | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-09-25 |
| 1285285858 | Emma N Reitmeier | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-09-25 |
| 1285292177 | Samantha N Bauer | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-06-05 |
| 1912565805 | Megan R Halverson | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-06-05 |
| 1780247650 | Elyssa S Male | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-04-17 |
| 1659833200 | Mckayla R Schnettgoecke | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1831324342 | Krista Nicole Nelson | Podiatrist | 235 S Main St Ste B, Edwardsville, IL 62025 | 2009-05-28 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| Find all providers in zip 62025 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339812 | Michelle Calhoon | Behavior Technician | 400 Saint Louis St Ste 1, Edwardsville, IL 62025-1979 | 2020-09-01 |
| 1740775527 | Megan Mackenzie Tolan | Behavior Technician | 115 Rottingham Ct, Edwardsville, IL 62025-3677 | 2018-06-25 |
| 1407357817 | Kelsey S Reichert | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2018-02-22 |
| 1326648528 | Ryan Hoaglin | Behavior Technician | 400 Saint Louis St Ste 1, Edwardsville, IL 62025-1979 | 2020-10-27 |
| 1073159463 | Lori J Tretter | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-11-21 |
| 1609419167 | Lauren M Tolan | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-10-28 |
| 1740831312 | Json S West | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-09-25 |
| 1285285858 | Emma N Reitmeier | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-09-25 |
| 1285292177 | Samantha N Bauer | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-06-05 |
| 1912565805 | Megan R Halverson | Behavior Technician | 115 Rottingham Ct Ste A, Edwardsville, IL 62025-3677 | 2019-06-05 |
| Find all providers in EDWARDSVILLE | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
Please comment or provide details below to improve the information on BRANDY LEE DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.