KEVIN DOUGLAS MA, BCBA
NPI 1679936785
Behavior Analyst in Live Oak, CA

Q: What is Kevin Douglas's NPI number?

The NPI number for Kevin Douglas is 1679936785. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Kevin 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 Kevin Douglas was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 05, 2016

3473 CANNON WAY, LIVE OAK, CA 95953(630) 635-1091 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kevin Douglas Ma, Bcba NPPES

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

KEVIN DOUGLAS MA, BCBA (NPI 1679936785) is an individual behavior analyst provider in Live Oak, California, licensed in California (1-16-21667) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1679936785

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameKEVIN DOUGLASCredential: MA, BCBA

Location Address3473 CANNON WAYLive Oak, CA 95953-9654

Mailing Address3473 Cannon WayLive Oak, CA 95953-9654 · (630) 635-1091

Phone(630) 635-1091

Sole ProprietorYes

Enumeration DateApril 5, 2016

Last NPPES UpdateApril 18, 2016

✔ NPI 1679936785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-16-21667

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.

3473 CANNON WAY, Live Oak, CA 95953

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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 Kevin Douglas's NPI number?

The NPI number for Kevin Douglas is 1679936785. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Kevin Douglas located?

Kevin Douglas practices at 3473 Cannon Way, Live Oak, CA 95953. The listed phone number is (630) 635-1091.

What is Kevin Douglas's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Douglas was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.