Misty Davenport, is a
Behavior Technician based in Atlanta, Georgia. Misty Davenport is licensed to practice in * (Not Available) (license number ) and her current practice location is
260 Peachtree St Nw Ste 2200, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(888) 880-9270.
NPI number for Misty Davenport is 1992194476 and her current mailing address is 500 Fairway Dr Ste 102, Deerfield Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992194476.
Healthcare Provider's Profile
| Full Name | Misty Davenport |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 260 Peachtree St Nw Ste 2200, Atlanta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992194476
- Provider Enumeration Date: 01/21/2015
- Last Update Date: 07/05/2018
Medical Identifiers
Medical identifiers for Misty Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992194476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Davenport is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Misty Davenport,
500 Fairway Dr Ste 102,
Deerfield Beach, FL 33441-1817
Ph: (888) 880-9270 | Misty Davenport,
260 Peachtree St Nw Ste 2200,
Atlanta, GA 30303
Ph: (888) 880-9270 |
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