Healthcare Provider Details

I. General information

NPI: 1427778141
Provider Name (Legal Business Name): AMANDA CLAIRE DAVIS M.A., BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA CLAIRE MORRISON

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 HILLRISE CIR
LAS CRUCES NM
88011-4741
US

IV. Provider business mailing address

1250 HILLRISE CIR
LAS CRUCES NM
88011-4741
US

V. Phone/Fax

Practice location:
  • Phone: 720-966-8200
  • Fax:
Mailing address:
  • Phone: 720-966-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number5284
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: