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

Jernice Shade Davis

Individual provider Behavior Technician · NPI 1578352662

Jernice Shade Davis is a Behavior Technician in Arden Hills, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4255 Lexington Ave N
Arden Hills, MN 55126-6164
Phone: (952) 746-5350
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1578352662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address14301 Ewing Ave S, Burnsville, MN 55306-4885

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