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Deactivated NPI 1003467689 Deactivated / Inactive NPI Male Practitioner

Johnny Davis

Assistant Behavior Analyst • Berea, OH

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

Registration / Start Date September 24, 2019
NPI Deactivation Date July 12, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Johnny Davis was a registered Assistant Behavior Analyst practicing in Berea, OH. Throughout an active medical career spanning 4 years, Johnny Davis provided care at the practice location at 398 W BAGLEY RD until profile deactivation on 2023-07-12.

Practice Location & Contact Primary Location

Practice Address

398 W Bagley Rd

Berea, OH 440171369

Telephone 2173727009
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Assistant Behavior Analyst in Berea, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Berea, OH (91 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

Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Practice Associates & Co-Workers

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

18 Associated Practitioners
Kashindi Kizenga

Case Manager/Care Coordinator

NPI 1043015498
Amanda Thompson

Community Health Worker

NPI 1134720162
Salahudeen Brooks

Massage Therapist

NPI 1174174981
Jacob Valente

Case Manager/Care Coordinator

NPI 1255119962
Shayla Brooks

Case Manager/Care Coordinator

NPI 1326615667
Mareesha Hannibal

Case Manager/Care Coordinator

NPI 1346054749

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 July 12, 2023

Record deactivated on July 12, 2023

NPI Profile Active September 24, 2019

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2019

Registered at 398 W BAGLEY RD, BEREA, OH 440171369 (Tel: 2173727009)

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Updated Business Mailing Address September 24, 2019

Registered at 487 E 112TH ST, CLEVELAND, OH 441081446 (Tel: 2162624589)

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Provider Name / Credentials Updated September 24, 2019

Recorded as JOHNNY DAVIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2019

Assistant Behavior Analyst

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Initial NPI Registration & Enumeration September 24, 2019

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: 1003467689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2019
Last Update: September 24, 2019
Deactivation Date: July 12, 2023

Mailing Address

487 E 112th St

Cleveland, OH 441081446

Phone: 2162624589

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.