Stephanie Helen Douglas
Behavior Technician in City Of Industry, CA. Individual provider (NPI-1).
NPI number1154911642
StatusActive
Last updated in NPPESJan 19, 2021
Details
- NPI
- 1154911642
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Helen Douglas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2021
- Certification date
- Jan 19, 2021
- Last updated
- Jan 19, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
17595 Almahurst St Ste 100aCity Of Industry, CA 91748-1792
Phone 626-344-4434
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 949-833-2237
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 402 Behavior Technician providers in City Of Industry · All 829 providers in City Of Industry
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