Davis, Brian

Davis, Brian is an individual health care provider with primary practice located at 5242 Plainfield Ave Ne Ste A , Grand Rapids MI 49525. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Davis, Brian can be contacted via phone (616) 363-2200.

Contact Information

Primary practice address
5242 Plainfield Ave Ne Ste A Grand Rapids MI 49525
Phone: (616) 363-2200
Fax: (616) 363-5337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401000675 Michigan

Profile Details

NPI number 1033656913
LBN Legal business name Davis, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2017
Last updated Oct 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033656913 NPPES
Michigan Other 0-16-7571 BCABA

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