AYODELE REGINA DOUGLAS MENTAL HEALTH PRACTI
NPI 1548890379
Behavior Technician in Minneapolis, MN

Active since January 21, 2020
2800 FREEWAY BLVD STE 204, MINNEAPOLIS, MN 55430(763) 412-1996(763) 292-5653 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ayodele Regina Douglas Mental Health Practi NPPES

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

AYODELE REGINA DOUGLAS MENTAL HEALTH PRACTI (NPI 1548890379) is an individual behavior technician in Minneapolis, Minnesota and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1548890379
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameAYODELE REGINA DOUGLASCredential: MENTAL HEALTH PRACTI
Location Address2800 FREEWAY BLVD STE 204Minneapolis, MN 55430-1751
Mailing Address2800 Freeway Blvd Ste 204Minneapolis, MN 55430-1751 · (763) 412-1996 · Fax (763) 292-5653
Fax(763) 292-5653
Sole ProprietorNo
Enumeration DateJanuary 21, 2020
NPI 1548890379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
2800 FREEWAY BLVD STE 204, Minneapolis, MN 55430

Other Identifiers 1

Medicaid874647200MN

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.

Behavior Technician
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Counselor (Mental Health)
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Behavior Technician
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Counselor (Mental Health)
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Case Manager/Care Coordinator
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Community Health Worker
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Case Manager/Care Coordinator
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Case Manager/Care Coordinator
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayodele Douglas's NPI number?

The NPI number for Ayodele Douglas is 1548890379. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Ayodele Douglas located?

Ayodele Douglas practices at 2800 Freeway Blvd Ste 204, Minneapolis, MN 55430. The listed phone number is (763) 412-1996.

What is Ayodele Douglas's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Ayodele Douglas was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.