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NPI Code Detail

MEDICARE: EVAN SCOTT DAVIS

MEDICARE: EVAN SCOTT 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1881572725
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN SCOTT DAVIS
Provider Business Mailing Address
First Line : 2928 W JACKSON RD
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45502-7926
Country : US
Telephone Number : 937-926-4565
Fax Number :
Provider Business Practice Location Address
First Line : 1332 WOODMAN DR
Second Line :
City : DAYTON
State : OH
Zip : 45432-3439
Country : US
Telephone Number : 513-740-1001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2025
Last Update Date : 08/26/2025

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Directions to “ EVAN SCOTT DAVIS ” Practice Location

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