Kierstin M Douglas
NPI #1013664325 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1013664325
- Entity Type
- Individual
- Name
- Kierstin M Douglas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 7, 2022
- Last Updated
- Mar 7, 2022
Practice Location
- Address
- 2703 SE OTIS CORLEY DR STE 11
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712-3414
- Phone
- (917) 905-0139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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