MEDICARE: SHACORA 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		NV

General Provider Information

NPI Number	:	1265821813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHACORA DAVIS

Provider Business Mailing Address
First Line	:	8000 SPRING MOUNTAIN RD
Second Line	:	APT 2062
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3908
Country	:	US
Telephone Number	:	702-510-6209
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 SPRING MOUNTAIN RD
Second Line	:	APT 2062
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3908
Country	:	US
Telephone Number	:	702-510-6209
Fax Number	:

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

Provider Enumeration Date	:	01/21/2015
Last Update Date	:	01/21/2015

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Directions to “ SHACORA DAVIS ” Practice Location

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