Provider Demographics
NPI:1003378571
Name:DAVEY, JANICE ANN (CBT)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ANN
Last Name:DAVEY
Suffix:
Gender:F
Credentials:CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 HOWARD RD APT 116
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5067
Mailing Address - Country:US
Mailing Address - Phone:253-737-9739
Mailing Address - Fax:
Practice Address - Street 1:14012 163RD PL SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-3662
Practice Address - Country:US
Practice Address - Phone:206-214-7516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician