MEDICARE: LIZBETH KEELY 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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1386473478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZBETH KEELY DAVIS

Provider Business Mailing Address
First Line	:	4195 US 64 W STE 9&10
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-8108
Country	:	US
Telephone Number	:	347-687-8873
Fax Number	:	833-644-8707

Provider Business Practice Location Address
First Line	:	4195 US 64 W STE 9&10
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-8108
Country	:	US
Telephone Number	:	347-687-8873
Fax Number	:	833-644-8707

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

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	11/10/2025

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Directions to “ LIZBETH KEELY DAVIS ” Practice Location

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