MEDICARE: KARA DAVIS-NORTON

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164726287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA DAVIS-NORTON

Provider Business Mailing Address
First Line	:	2312 W PINE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3457
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2312 W PINE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3457
Country	:	US
Telephone Number	:	813-270-7194
Fax Number	:

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

Provider Enumeration Date	:	01/04/2011
Last Update Date	:	01/04/2011

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Directions to “ KARA DAVIS-NORTON ” Practice Location

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