DIVON L DAVIS-BODDIE
NPI 1164274940
Behavior Technician in Glendale, AZ

Active since April 04, 2024
18330 N 79TH AVE, GLENDALE, AZ 85308(907) 378-0463 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divon L Davis-boddie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVON L DAVIS-BODDIE (NPI 1164274940) is an individual behavior technician in Glendale, Arizona, licensed in Alaska (7560699) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1164274940
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameDIVON L DAVIS-BODDIE
Location Address18330 N 79TH AVEGlendale, AZ 85308-8343
Mailing Address18330 N 79th AveGlendale, AZ 85308-8343 · (907) 378-0463
Sole ProprietorNo
Enumeration DateApril 4, 2024
NPPES CertifiedApril 3, 2024
NPI 1164274940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in AK · 7560699
Definition
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.
18330 N 79TH AVE, Glendale, AZ 85308

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Pediatrics)
18330 N 79TH AVE, APT 1021
GLENDALE, AZ 85308
Technician/Technologist (Optician)
18330 N 79TH AVE, 1062
GLENDALE, AZ 85308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divon Davis-boddie's NPI number?

The NPI number for Divon Davis-boddie is 1164274940. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Divon Davis-boddie located?

Divon Davis-boddie practices at 18330 N 79th Ave, Glendale, AZ 85308. The listed phone number is (907) 378-0463.

What is Divon Davis-boddie's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Divon Davis-boddie was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.