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

Tyshaun L Davis

Individual provider Behavior Technician · NPI 1104778547

Tyshaun L Davis is a Behavior Technician in Springfield, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

126 Island Pond Rd
Springfield, MA 01118-1029
Phone: (413) 435-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MA)

Record details

NPI number1104778547
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address126 Island Pond Rd, Springfield, MA 01118-1029

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