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Deactivated NPI 1588968465 Deactivated / Inactive NPI Male Practitioner

Willie A Davis

Behavior Analyst • Calumet City, IL

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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, Willie Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 06, 2011
NPI Deactivation Date March 14, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Willie Davis was a registered Behavior Analyst practicing in Calumet City, IL. Throughout an active medical career spanning 7 years, Willie Davis provided care at the practice location at 858 BURNHAM AVE until profile deactivation on 2018-03-14.

Practice Location & Contact Primary Location

Practice Address

858 Burnham Ave

Calumet City, IL 604094728

Telephone 7087548815
Fax 7087981315
Associated Practice Facility / Clinic
🏢 Grand Prairie Services Facility NPI 1598829020

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Calumet City, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Calumet City, IL (3105 Statewide)

Telehealth Adoption Rate
0.0% 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Victor Fuller

Behavior Analyst

NPI 1003110628
Robert Smith

Counselor - Mental Health

NPI 1003427808
Helen Watson-Lewis

Behavior Analyst

NPI 1033413554
Janice Straczek

Behavior Analyst

NPI 1043514565
Mary Romanchik

Behavior Analyst

NPI 1053605568
Aarti Gupta

Behavior Analyst

NPI 1063718880

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 14, 2018

Record deactivated on March 14, 2018

NPI Profile Active January 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 06, 2011

Registered at 858 BURNHAM AVE, CALUMET CITY, IL 604094728 (Tel: 7087548815)

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Updated Business Mailing Address January 06, 2011

Registered at 17746 OAK PARK AVE, TINLEY PARK, IL 604773936 (Tel: 7084441012)

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Provider Name / Credentials Updated January 06, 2011

Recorded as WILLIE DAVIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2011

Behavior Analyst

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Initial NPI Registration & Enumeration January 06, 2011

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: 1588968465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2011
Last Update: January 06, 2011
Deactivation Date: March 14, 2018

Mailing Address

17746 Oak Park Ave

Tinley Park, IL 604773936

Phone: 7084441012

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.