Carolina Davenport
Behavior Technician in Clarksville, TN. Individual provider (NPI-1).
NPI number1124871256
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1124871256
- Entity type
- Individual (NPI-1)
- Name
- Carolina Davenport
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2024
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
331 Landrum PlClarksville, TN 37043-6329
Phone 931-553-1395
Mailing address
331 Landrum PlClarksville, TN 37043-6329
Phone 931-553-1395
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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