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Deactivated NPI 1114597028 Deactivated / Inactive NPI Male Practitioner

Robert Davis

Behavior Technician • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2021
NPI Deactivation Date March 22, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Robert Davis was a registered Behavior Technician practicing in Jacksonville, FL. Throughout an active medical career spanning 1 years, Robert Davis provided care at the practice location at 6859 BELFORT OAKS PL until profile deactivation on 2022-03-22.

Practice Location & Contact Primary Location

Practice Address

6859 Belfort Oaks Pl

Jacksonville, FL 322166242

Telephone 9046382127
Associated Practice Facility / Clinic
🏢 Frank R Collier Jr M D P A Facility NPI 1912193491

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1806 Specialists

Practicing in Jacksonville, FL (75895 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-11
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License FL RBT-24-370564

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Gail Kitani

Behavior Technician

NPI 1518617778
Fiddle Lawrence

Behavior Technician

NPI 1588595763
Amaya Campbell

Behavior Technician

NPI 1821807173

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2025

Behavior Technician (License #RBT-24-370564 in FL)

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Updated Practice Location August 30, 2024

Registered at 6859 BELFORT OAKS PL, JACKSONVILLE, FL 322166242 (Tel: 9046382127)

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Updated Business Mailing Address August 30, 2024

Registered at 1401 RIVERPLACE BLVD APT 706, JACKSONVILLE, FL 322079077

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2024

Behavior Technician (License #RBT-24-370564 in HI)

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Updated Practice Location January 25, 2024

Registered at 94-450 MOKUOLA ST STE 100, WAIPAHU, HI 967973388 (Tel: 9099442882)

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Updated Business Mailing Address January 25, 2024

Registered at 1830 WILIKINA DR APT 911, WAHIAWA, HI 967861409

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Provider Name / Credentials Updated January 25, 2024

Recorded as ROBERT DAVIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2024

Behavior Technician (License #RBT-20-116256 in HI)

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NPI Profile Deactivated March 22, 2022

Record deactivated on March 22, 2022

NPI Profile Active July 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2021

Registered at 94-450 MOKUOLA ST STE 100, WAIPAHU, HI 967973388 (Tel: 9099442882)

📍
Updated Business Mailing Address July 01, 2021

Registered at 1830 WILIKINA DR APT 911, WAHIAWA, HI 967861409

👤
Provider Name / Credentials Updated July 01, 2021

Recorded as ROBERT DAVIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Behavior Technician (License #RBT-20-116256 in HI)

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Initial NPI Registration & Enumeration July 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114597028
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2021
Last Update: February 11, 2025
Deactivation Date: March 22, 2022
Sole Proprietor: No

Mailing Address

1401 Riverplace Blvd Apt 706

Jacksonville, FL 322079077

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.