Provider Demographics
NPI:1386375384
Name:DAVIS, ZACH (BT)
Entity type:Individual
Prefix:
First Name:ZACH
Middle Name:
Last Name:DAVIS
Suffix:
Gender:M
Credentials:BT
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1500 DOUGLAS ROAD SUITE 230 CORAL GABLES, FL 33134
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:844-854-1116
Mailing Address - Fax:305-846-9711
Practice Address - Street 1:2549 JOLLY RD SUITE 380, OKEMOS, MI 48864
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48864
Practice Address - Country:US
Practice Address - Phone:844-854-1116
Practice Address - Fax:305-846-9711
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician