Candace A Coleman-Davis
Behavior Technician in Tigard, Oregon
1124528757- Practice location
- 15688 SW Bristlecone Way, Tigard, OR 97223-2689
- Phone
- 503-962-9664
- Fax
- —
- Last updated
- February 20, 2018
Candace A Coleman-Davis is a Behavior Technician based in Tigard, OR. The NPI number for Candace A Coleman-Davis is 1124528757 and holds license No. 2578097 (OR). The current practice location address is 15688 SW Bristlecone Way, Tigard, OR 97223-2689 and the office can be reached by phone at 503-962-9664. The NPI was assigned on February 20, 2018 and the record was last updated in NPPES on February 20, 2018.
●Provider Profile Details
- NPI Number
- 1124528757
- Provider Name
- Candace Ayana Coleman-Davis
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- Yes
- Enumeration Date
- February 20, 2018
- Last Update Date
- February 20, 2018
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 15688 SW Bristlecone Way
Tigard, OR 97223-2689 - City
- Tigard
- State
- Oregon
- ZIP
- 97223-2689
- Country
- US
- Phone Number
- 503-962-9664
✉Business Mailing Address
- Address
- 41521 W 11 Mile RD
Novi, MI 48375-1803 - City
- Novi
- State
- MI
- ZIP
- 48375-1803
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | 2578097 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Tigard →?Frequently Asked Questions
What is the NPI number of Candace A Coleman-Davis?
The NPI number of Candace A Coleman-Davis is 1124528757. It was assigned on February 20, 2018 and is currently active in the NPPES registry.
What is the specialty of Candace A Coleman-Davis?
Candace A Coleman-Davis is registered under the primary taxonomy Behavior Technician (code 106S00000X) and holds license No. 2578097 (OR).
Where does Candace A Coleman-Davis practice?
The practice location is 15688 SW Bristlecone Way, Tigard, OR 97223-2689. The office can be reached at 503-962-9664 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124528757 directly on the NPPES registry website at npiregistry.cms.hhs.gov.