Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DERRICK DOUGLAS JR.
NPI 1366340663
Behavior Analyst in Stuart, FL

Q: What is Derrick Douglas's NPI number?

The NPI number for Derrick Douglas is 1366340663. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Q: What is Derrick Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derrick Douglas was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2026

7108 S KANNER HWY, STUART, FL 34997, STUART, FL 34997(855) 832-6727 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Derrick Douglas Jr. NPPES

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

DERRICK DOUGLAS JR. (NPI 1366340663) is an individual behavior analyst provider in Stuart, Florida and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1366340663

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameDERRICK DOUGLAS JR.

Location Address7108 S KANNER HWY, STUART, FL 34997Stuart, FL 34997

Mailing Address6 Greenport WayGreenville, SC 29607-5061 · (864) 385-0981

Phone(855) 832-6727

Sole ProprietorYes

Enumeration DateOctober 27, 2026

NPPES CertifiedOctober 23, 2026

✔ NPI 1366340663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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.

7108 S KANNER HWY, STUART, FL 34997, Stuart, FL 34997

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MR. JOHN J SMITH JR.

Behavior Technician

7108 S KANNER HWY, STUART, FL 34997
STUART FL, FL 34997

Martin County (772) 349-6317

NICO GUZMAN

Assistant Behavior Analyst