JACQUELINE DOUTHAT
NPI 1275097396
Behavior Analyst in Atlanta, GA

Q: What is Jacqueline Douthat's NPI number?

The NPI number for Jacqueline Douthat is 1275097396. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Q: What is Jacqueline Douthat's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since January 23, 2019

1920 BRIARCLIFF RD NE, ATLANTA, GA 30329(404) 785-9400 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2021, Jul 18, 2019, Jan 23, 2019 (3 updates tracked since 2019).

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About Jacqueline Douthat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE DOUTHAT (NPI 1275097396) is an individual behavior analyst provider in Atlanta, Georgia, licensed in Georgia (1-19-36861) and active in the NPI registry since January 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275097396

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJACQUELINE DOUTHAT

Location Address1920 BRIARCLIFF RD NEAtlanta, GA 30329-4010

Mailing Address1920 Briarcliff Rd NeAtlanta, GA 30329-4010 · (404) 785-9400

Phone(404) 785-9400

Sole ProprietorYes

Enumeration DateJanuary 23, 2019

Last NPPES UpdateApril 9, 20213 updates tracked since enumeration

NPPES CertifiedApril 9, 2021

✔ NPI 1275097396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in GA · 1-19-36861

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-15-07274

1920 BRIARCLIFF RD NE, Atlanta, GA 30329

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Secondary Practice Locations 2

Location 15488 Chamblee Dunwoody Rd Ste 7Dunwoody, GA 30338-4161 · Phone (404) 480-3842

Location 21549 Clairmont Rd Ste 103Decatur, GA 30033-4635 · Phone (404) 480-3842

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER STAPEL-WAX PSYD

Psychologist (Clinical)