Provider Demographics
NPI:1851854970
Name:DAVIS, CAYLA JO (CDCA)
Entity Type:Individual
Prefix:
First Name:CAYLA
Middle Name:JO
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 JONES AVE
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:OH
Mailing Address - Zip Code:43907-8538
Mailing Address - Country:US
Mailing Address - Phone:740-238-3021
Mailing Address - Fax:
Practice Address - Street 1:122 JONES AVE
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-8538
Practice Address - Country:US
Practice Address - Phone:740-238-3021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator