KIENUWA DAVIS
NPI 1639682636
Behavior Technician in Detroit, MI

Active since November 13, 2017
79 W ALEXANDRINE ST # MI48201, DETROIT, MI 48201(313) 831-5535 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Nov 13, 2017 (2 updates tracked since 2017).

About Kienuwa Davis NPPES

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

KIENUWA DAVIS (NPI 1639682636) is an individual behavior technician in Detroit, Michigan and active in the NPI registry since November 2017. He maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1639682636
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKIENUWA DAVIS
Location Address79 W ALEXANDRINE ST # MI48201Detroit, MI 48201-2015
Mailing Address79 W Alexandrine St # 48201Detroit, MI 48201-2015 · (313) 831-5535 · Fax (313) 831-2608
Sole ProprietorNo
Enumeration DateNovember 13, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1639682636 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.
79 W ALEXANDRINE ST # MI48201, Detroit, MI 48201

Secondary Practice Location 1

Location 179 W Alexandrine St # Mi48201Detroit, MI 48201-2015 · Phone (313) 831-5535

Other Providers at the Same Location NPPES 3

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

Case Manager/Care Coordinator
79 W ALEXANDRINE ST # MI48201
DETROIT, MI 48201
Behavior Technician
79 W ALEXANDRINE ST # MI48201
DETROIT, MI 48201
Social Worker (Clinical)
79 W ALEXANDRINE ST # MI48201
DETROIT, MI 48201

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 Kienuwa Davis's NPI number?

The NPI number for Kienuwa Davis is 1639682636. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Kienuwa Davis located?

Kienuwa Davis practices at 79 W Alexandrine St # Mi48201, Detroit, MI 48201. The listed phone number is (313) 831-5535.

What is Kienuwa Davis'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 Kienuwa Davis was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.