THEODORE JOSEPH DAVIS IV (NPI# 1841709268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841709268 |
| Entity Type | Individual |
| Full Name | THEODORE JOSEPH DAVIS IV |
| Practice Address |
9150 Bereford Dr Baton Rouge LA 70809-2403 |
| Practice Telephone | 2259607688 |
| Mailing Telephone | 2259607689 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033400510 | Theodore W Davis | Chiropractor | 2505 Kachina Dr, Pueblo, CO 81008-1573 | 2011-05-02 |
| 1023097425 | Theodore Davis | Dentist | 804 Clinton Ave, Clinton Hill Dental Assoc, Newark, NJ 07108 | 2006-01-13 |
| Street Address |
9150 BEREFORD DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912314154 | Christiana Show | Behavioral Analyst | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2014-07-21 |
| 1376152041 | Sara Mcconnell | Speech-Language Pathologist | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2020-07-28 |
| 1255982732 | Merakey Pennsylvania | Physical Therapist | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2019-09-25 |
| 1427606326 | Carly Catherine Moore | Behavior Technician | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2019-09-04 |
| 1336795012 | Taylor B Williams | Behavior Technician | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2019-08-17 |
| 1346896164 | Kimberly Marshall | Behavioral Analyst | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2019-08-16 |
| 1033765185 | Keondria Mcgee | Behavior Technician | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2019-08-14 |
| 1992351043 | Kara Hobbs | Behavior Technician | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2019-08-14 |
| 1356905442 | Lauren Peck | Speech-Language Pathologist | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2019-04-24 |
| 1154896678 | Gwendolyn Snow Marler | Occupational Therapist | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2018-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| 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 |
|---|---|---|---|---|
| 1447850698 | Alyssa Mae Henderson | Behavior Technician | 4155 Essen Ln, Baton Rouge, LA 70809-2150 | 2020-10-27 |
| 1518580380 | Sheritha Thelmessia Sherman | Behavior Technician | 7440 Richey Dr, Baton Rouge, LA 70812-2251 | 2020-05-27 |
| 1467099762 | Hannah Carter | Behavior Technician | 2510 Gates Cir Apt 23, Baton Rouge, LA 70809-1032 | 2019-12-05 |
| 1629619465 | Markisha Paul | Behavior Technician | 1544 N 40th St, Baton Rouge, LA 70802-1623 | 2019-10-02 |
| 1790338077 | Shyro P Poullard | Behavior Technician | 1443 Brightside Dr Apt 1532c, Baton Rouge, LA 70820-4819 | 2019-07-16 |
| 1316418494 | Markeisha Lashawn Hills | Behavior Technician | 4600 Burbank Dr Apt 139, Baton Rouge, LA 70820-3212 | 2018-12-16 |
| 1992284707 | Gena Yelverton Higginbotham | Behavior Technician | 758 Royal St, Baton Rouge, LA 70802-6433 | 2018-08-13 |
| 1710475934 | Adrienne Marie Brown | Behavior Technician | 11606 Southfork Ave Ste 300b, Baton Rouge, LA 70816-5235 | 2018-04-23 |
| 1982106431 | Cheryllynn Story | Behavior Technician | 11606 Southfork Avenue Building 300, Baton Rouge, LA 70816 | 2018-03-01 |
| 1942700661 | Sierra Ya'shee' Leatherman | Behavior Technician | 1302 Bob Pettit Blvd Bldg Apt .30, Baton Rouge, LA 70820-3021 | 2018-02-19 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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| 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.