Healthcare Provider Details

I. General information

NPI: 1053117432
Provider Name (Legal Business Name): SYNTHIA DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 ACCUTECH WAY
MUNCIE IN
47304-9462
US

IV. Provider business mailing address

818 W RIVERSIDE AVE APT I1
MUNCIE IN
47303-3716
US

V. Phone/Fax

Practice location:
  • Phone: 765-282-8222
  • Fax:
Mailing address:
  • Phone: 317-452-6207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: