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General NPI Number Information
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NPI Number | 1306384276
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Entity Type | Individual
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Provider Name | JOHN CHASE DAVIS BCBA, LBA
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Gender | Male
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 825 DILIGENCE DR STE 102
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4211
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Country | US
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Telephone | 254-249-6530
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Fax | 903-200-1505
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Provider Business Mailing Address
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Address Line | 2612 W LAMBERTH RD STE 100
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City | SHERMAN
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State | TX
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Zip | 75092-5181
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Country | US
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Telephone | 254-249-6530
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Fax | 903-200-1505
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-65324
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License Number State | VA
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