Provider Demographics
NPI:1558902445
Name:DAVIDOWITZ, NAOMI (BCBA MSED)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:DAVIDOWITZ
Suffix:
Gender:F
Credentials:BCBA MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 VILLAGE CENTER CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-0564
Mailing Address - Country:US
Mailing Address - Phone:702-766-9840
Mailing Address - Fax:702-297-6260
Practice Address - Street 1:1775 VILLAGE CENTER CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-0564
Practice Address - Country:US
Practice Address - Phone:702-766-9840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst