MEDICARE: FRANCES NIEVES DAVIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1225424534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES NIEVES DAVIS

Provider Business Mailing Address
First Line	:	2350 RAVINE WAY STE 100
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-7621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 RAVINE WAY STE 100
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-7621
Country	:	US
Telephone Number	:	224-485-1111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2015
Last Update Date	:	02/19/2024

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Directions to “ FRANCES NIEVES DAVIS ” Practice Location

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