MICHEAL DAVENPORT-MATHIS
NPI 1497505606
Behavior Technician in Douglasville, GA

Active since March 22, 2024
3294 SR-5 N, DOUGLASVILLE, GA 30135(857) 829-4040 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Micheal Davenport-mathis NPPES

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

MICHEAL DAVENPORT-MATHIS (NPI 1497505606) is an individual behavior technician in Douglasville, Georgia and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1497505606
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMICHEAL DAVENPORT-MATHIS
Location Address3294 SR-5 NDouglasville, GA 30135
Mailing Address800 W Marietta St NwAtlanta, GA 30318-5214 · (267) 633-5052
Sole ProprietorNo
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 21, 2024
NPI 1497505606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.
3294 SR-5 N, Douglasville, GA 30135

Other Providers at the Same Location NPPES

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

Behavior Analyst
3294 SR-5 N
DOUGLASVILLE, GA 30135

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 Micheal Davenport-mathis's NPI number?

The NPI number for Micheal Davenport-mathis is 1497505606. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Micheal Davenport-mathis located?

Micheal Davenport-mathis practices at 3294 Sr-5 N, Douglasville, GA 30135. The listed phone number is (857) 829-4040.

What is Micheal Davenport-mathis'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 Micheal Davenport-mathis was last updated on March 22, 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.