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Deactivated NPI 1003324344 Deactivated / Inactive NPI Female Practitioner

Minnie Davidson

Behavior Technician • Novi, MI

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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, Minnie Davidson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2018
NPI Deactivation Date June 10, 2021
Total Practice Duration ~3 Years of Practice (2018 – 2021)

Professional Overview & Biography Verified Profile Summary

Minnie Davidson was a registered Behavior Technician practicing in Novi, MI. Throughout an active medical career spanning 3 years, Minnie Davidson provided care at the practice location at 41521 W 11 MILE RD until profile deactivation on 2021-06-10.

Practice Location & Contact Primary Location

Practice Address

41521 W 11 Mile Rd

Novi, MI 483751803

Telephone 2482990030
Associated Practice Facility / Clinic
🏢 Centria Home Rehabilitation Facility NPI 1124300199

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Novi, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 3.1 Yrs
Regional Practice Density
4515 Specialists

Practicing in Novi, MI (63826 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 Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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

40 Associated Practitioners
Wendy Jeffers

Registered Nurse

NPI 1003166539
Gina Golowic

Technician, Other

NPI 1003275587
Clarissa Canal

Behavior Technician

NPI 1003300120
Justin O'kelly

Behavior Technician

NPI 1003300401
Jessica Montes

Behavior Technician

NPI 1003303314
Nada Makki

Behavior Technician

NPI 1003304072

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 June 10, 2021

Record deactivated on June 10, 2021

NPI Profile Active January 22, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2018

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2482990030)

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Updated Business Mailing Address January 22, 2018

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803

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Provider Name / Credentials Updated January 22, 2018

Recorded as MINNIE DAVIDSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2018

Behavior Technician

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Initial NPI Registration & Enumeration January 22, 2018

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: 1003324344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2018
Last Update: January 22, 2018
Deactivation Date: June 10, 2021

Mailing Address

41521 W 11 Mile Rd

Novi, MI 483751803

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.