MEDICARE: ERIN ELIZABETH 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
1	103K00000X	Behavior Analyst		NC

General Provider Information

NPI Number	:	1154074151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN ELIZABETH DAVIS

Provider Business Mailing Address
First Line	:	7801 CHEAHA DR APT 1-206
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-2204
Country	:	US
Telephone Number	:	910-260-0058
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 SPRING FOREST RD STE 206
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-9198
Country	:	US
Telephone Number	:	704-703-8588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2022
Last Update Date	:	12/01/2025

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