DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GENTRY DAVIS

MEDICARE: GENTRY DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1073345765
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENTRY DAVIS
Provider Business Mailing Address
First Line : 9307 S SHARTEL AVE APT 101
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-5210
Country : US
Telephone Number : 405-740-1876
Fax Number :
Provider Business Practice Location Address
First Line : 1211 MAGNOLIA CT
Second Line :
City : MOORE
State : OK
Zip : 73160-1397
Country : US
Telephone Number : 419-318-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 08/20/2024

Similar Medicare Providers

1578574265 — MS. AMBER LYNN ROAT BT
Practice Location Address:
1211 MAGNOLIA CT
MOORE, OK
73160-1397
Practice Phone: 405-410-7644
Practice Fax:
1366040578 — ARELY RAMIREZ RAMOS BCBA
Practice Location Address:
1211 MAGNOLIA CT
MOORE, OK
73160-1397
Practice Phone: 479-318-2300
Practice Fax:
1932944881 — HAYLI TAYLOR
Practice Location Address:
1211 MAGNOLIA CT
MOORE, OK
73160-1397
Practice Phone: 419-318-2300
Practice Fax:
1003645540 — VERONICA MERCEDES GAMBOA
Practice Location Address:
1211 MAGNOLIA CT
MOORE, OK
73160-1397
Practice Phone: 405-237-3515
Practice Fax:
1093546459 — HAYLIE DON SIMMONS
Practice Location Address:
1211 MAGNOLIA CT
MOORE, OK
73160-1397
Practice Phone: 405-830-0818
Practice Fax:
1780417550 — TAYLOR ODELL
Practice Location Address:
1211 MAGNOLIA CT
MOORE, OK
73160-1397
Practice Phone: 419-318-2300
Practice Fax:

Directions to “ GENTRY DAVIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.