Kevin Douglas, MA, BCBA
NPI #1679936785 in Live Oak, California
Provider Information
- NPI Number
- 1679936785
- Entity Type
- Individual
- Name
- Kevin Douglas, MA, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- MA, BCBA
- Enumeration Date
- Apr 5, 2016
- Last Updated
- Apr 18, 2016
Practice Location
- Address
- 3473 CANNON WAY
- City
- Live Oak
- State
- California
- ZIP Code
- 95953-9654
- Phone
- (630) 635-1091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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