MEDICARE: HEATHER L 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

General Provider Information

NPI Number	:	1205770849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER L DAVIS

Provider Business Mailing Address
First Line	:	152 MISTY LN
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24740-6462
Country	:	US
Telephone Number	:	681-238-6634
Fax Number	:

Provider Business Practice Location Address
First Line	:	152 MISTY LN
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24740-6462
Country	:	US
Telephone Number	:	681-238-6634
Fax Number	:

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

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

Similar Medicare Providers

1841748696 — MR. RORY DILLON
Practice Location Address:

140 MISTY LN
PRINCETON, WV
24740-6462

Practice Phone: 304-425-2222
Practice Fax: 304-487-6491

1346005048 — MYERS & ASSOCIATES COUNSELING CENTER, LLC
Practice Location Address:

152 MISTY LN
PRINCETON, WV
24740-6462

Practice Phone: 304-223-5200
Practice Fax: 304-223-5500

1932942646 — MS. PAMELA JEANE SHRADER FNP
Practice Location Address:

150 MISTY LN
PRINCETON, WV
24740-6462

Practice Phone: 304-425-4040
Practice Fax:

1427885276 — MYERS & ASSOCIATES COUNSELING CENTER, LLC
Practice Location Address:

152 MISTY LN
PRINCETON, WV
24740-6462

Practice Phone: 304-223-5200
Practice Fax: 304-223-5500

1689497133 — JESSICA FLEMING LGSW
Practice Location Address:

152 MISTY LN
PRINCETON, WV
24740-6462

Practice Phone: 304-223-5200
Practice Fax:

1265226286 — KIERA GILL
Practice Location Address:

152 MISTY LN
PRINCETON, WV
24740-6462

Practice Phone: 304-223-5300
Practice Fax:

Directions to “ HEATHER L 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.