Healthcare Provider Details

I. General information

NPI: 1366357956
Provider Name (Legal Business Name): EMILY ISERN-DAVIS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6254 JOY RD
DAVIS OK
73030-9592
US

IV. Provider business mailing address

6254 JOY RD
DAVIS OK
73030-9592
US

V. Phone/Fax

Practice location:
  • Phone: 580-816-0999
  • Fax:
Mailing address:
  • Phone: 580-816-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-84385
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: