Healthcare Provider Details

I. General information

NPI: 1346167871
Provider Name (Legal Business Name): COMPASS CARE BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 CAMBRIDGE TER APT D
DAVIS CA
95618-4373
US

IV. Provider business mailing address

334 CAMBRIDGE TER APT D
DAVIS CA
95618-4373
US

V. Phone/Fax

Practice location:
  • Phone: 916-208-2409
  • Fax:
Mailing address:
  • Phone: 916-208-2409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LYRIQ M DAVIS
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: MA
Phone: 916-208-2409