Provider Demographics
NPI:1669261012
Name:DAVIS, AYANNA SARAN
Entity type:Individual
Prefix:MS
First Name:AYANNA
Middle Name:SARAN
Last Name:DAVIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E COLORADO BLVD APT 311
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1250
Mailing Address - Country:US
Mailing Address - Phone:817-495-4942
Mailing Address - Fax:817-495-4942
Practice Address - Street 1:900 E COLORADO BLVD APT 311
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1250
Practice Address - Country:US
Practice Address - Phone:817-495-4942
Practice Address - Fax:817-495-4942
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst