Individual provider · Type 1 NPI
Jeffrey Thomas Davis, LSPE, LBA, BCBA
Mental Health Counselor · Casper, WY
NPI number
1861516379
Active
Practice location
2419 Shumway Ave
Casper, WY 82601-5226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | BA-004 (WY) |
| Counseling Psychologist | 103TC1900X | 11750 (TN) |
| Mental Health Counselor Primary | 101YM0800X | 11750 (TN) |
Mental Health Counselor: Definition to come...
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About NPI 1861516379
Jeffrey Thomas Davis, LSPE, LBA, BCBA's National Provider Identifier is 1861516379, issued on Mar 19, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Casper, WY. The record was last updated on Jun 26, 2025.