Kadeeja Douglas
Behavior Analyst in Mableton, GA. Individual provider (NPI-1).
NPI number1376301234
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1376301234
- Entity type
- Individual (NPI-1)
- Name
- Kadeeja Douglas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2024
- Certification date
- Feb 23, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1571 Glenn Pl SwMableton, GA 30126-1170
Phone 561-396-3384
Mailing address
1571 Glenn Pl SwMableton, GA 30126-1170
Phone 561-396-3384
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