Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Lane Davis

Individual provider Behavior Technician · NPI 1023902590

Ethan Lane Davis is a Behavior Technician in Cleveland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2025.

Licensed in
TN
In the registry since
2025

Practice location Address checks out

177 Mouse Creek Rd NW
Cleveland, TN 37312-3838
Phone: (888) 963-2228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-442247 (TN)

Record details

NPI number1023902590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2025
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address2409 Georgetown Rd Nw, Cleveland, TN 37311-3553

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