Blake Davis

Behavior Analyst · Broken Arrow, OK

Individual Active NPI

NPI number 1003414194

Practice location

2208 W Detroit St
Broken Arrow, OK 74012-3629
Phone
(918) 900-6237

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NPI record

NPI
1003414194
Entity type
Individual (Type 1)
Enumeration date
October 12, 2020
Last updated
December 7, 2022
Certified
December 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-22-63002 OK
Behavior Technician 106S00000X — —

About Blake Davis

Blake Davis is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2208 W Detroit St, Broken Arrow, OK 74012-3629. The NPI number 1003414194 was assigned on October 12, 2020 and the record was last updated on December 7, 2022.

Blake Davis lists a license in the registry: #1-22-63002 (OK) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Davis?

The NPI number is 1003414194.

What is the phone number of Blake Davis?

The phone number listed for the practice location is (918) 900-6237.

Where is Blake Davis located?

2208 W Detroit St, Broken Arrow, OK 74012-3629.

What is the taxonomy code for Blake Davis?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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