IndividualActive
Divon Davis-Boddie
NPI 1164274940 · Behavior Technician · Glendale, AZ
Divon Davis-Boddie is a Behavior Technician provider in Glendale, AZ (NPI 1164274940).
Provider details
- NPI number
- 1164274940
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 7560699 (AK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18330 N 79th Ave
Glendale, AZ 85308-8343
Phone: (907) 378-0463
Street-level locationGet directions
Mailing address
18330 N 79th Ave
Glendale, AZ 85308-8343
Registry dates
- Enumerated
- 2024-04-04
- Last updated
- 2024-04-04
- Certified
- 2024-04-03
Frequently asked questions
- What is Divon Davis-Boddie's NPI number?
- Divon Davis-Boddie's National Provider Identifier (NPI) is 1164274940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Divon Davis-Boddie's specialty?
- Divon Davis-Boddie is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Divon Davis-Boddie located?
- Divon Davis-Boddie's practice location on file with NPPES is 18330 N 79th Ave, Glendale, AZ 85308-8343.
- What is Divon Davis-Boddie's phone number?
- The practice phone number listed in the NPPES registry for Divon Davis-Boddie is (907) 378-0463.
- Is Divon Davis-Boddie's NPI active?
- Yes — Divon Davis-Boddie's NPI (1164274940) is active in the NPPES registry as of the last update on 2024-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.