MEDICARE: KAMYRA S 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		TX

General Provider Information

NPI Number	:	1386579639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMYRA S DAVIS

Provider Business Mailing Address
First Line	:	14300 OAKRIDGE CIR APT 1613
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76155-4803
Country	:	US
Telephone Number	:	573-988-2960
Fax Number	:

Provider Business Practice Location Address
First Line	:	14300 OAKRIDGE CIR APT 1613
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76155-4803
Country	:	US
Telephone Number	:	573-988-2960
Fax Number	:

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

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ KAMYRA S DAVIS ” Practice Location

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