Tyree A Davis
Behavior Technician in Randolph, Massachusetts
1376023663- Practice location
- 41 Pacella Park Dr, Randolph, MA 02368-1755
- Phone
- 781-437-0791
- Fax
- —
- Last updated
- May 10, 2023
Tyree A Davis is a Behavior Technician based in Randolph, MA. Tyree A Davis practices in Randolph, MA. The NPI Number for Tyree A Davis is 1376023663 and holds a License No. 123456789 (MA). The current practice location address for Tyree A Davis is 41 Pacella Park Dr, Randolph, MA 02368-1755 and can be reached out via phone at 781-437-0791.
Provider Profile Details
- NPI Number
- 1376023663
- Provider Name
- Tyree A Davis
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 41 Pacella Park Dr, Randolph, MA 02368-1755
- Phone Number
- 781-437-0791
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 16, 2018
- Last Update Date
- May 10, 2023
- Certification Date
- May 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 Pacella Park Dr
Randolph, MA 02368-1755 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-1755
- Phone Number
- 781-437-0791
Provider Business Mailing Address Details
- Address
- 41 Pacella Park Dr
Randolph, MA 02368-1755 - City
- Randolph
- State
- MA
- Zip
- 02368-1755
- Phone Number
- 781-440-0400
License Information
- Taxonomy (1)
- Behavior Technician · 106S00000X
- License Number (2)
- 123456789
- License State (2)
- MA
- Taxonomy (2)
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tyree A Davis?
The NPI number of Tyree A Davis is 1376023663. It was assigned on August 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Tyree A Davis?
Tyree A Davis is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number 123456789.
Where does Tyree A Davis practice?
The practice location is 41 Pacella Park Dr, Randolph, MA 02368-1755. The office can be reached at 781-437-0791 (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 1376023663 directly on the NPPES registry website.