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JEREMY A DOUGLAS
NPI 1841003316
Behavior Analyst in Rio Rancho, NM

Active since January 29, 2025
2200 GRANDE BLVD SE, RIO RANCHO, NM 87124(505) 218-6383 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy A Douglas NPPES

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

JEREMY A DOUGLAS (NPI 1841003316) is an individual behavior analyst provider in Rio Rancho, New Mexico and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1841003316
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJEREMY A DOUGLAS
Location Address2200 GRANDE BLVD SERio Rancho, NM 87124-1695
Mailing Address2200 Grande Blvd SeRio Rancho, NM 87124-1695 · (505) 218-6383
Phone(505) 218-6383
Sole ProprietorYes
Enumeration DateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1841003316 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.
2200 GRANDE BLVD SE, Rio Rancho, NM 87124
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Other Providers at the Same Location NPPES 3

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

KRISTEN KONSTANTAKIS
Counselor
2200 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 218-6383
BEVERLY JANE GARRETT MS PCC-S
Counselor (Mental Health)
2200 GRANDE BLVD SE, SUITE B
RIO RANCHO, NM 87124
Sandoval County (937) 266-3933
SHIRLEY ANN FITE RDH
Dental Hygienist
2200 GRANDE BLVD SE, SUITE A
RIO RANCHO, NM 87124
Sandoval County (505) 891-1500

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 Jeremy Douglas's NPI number?

The NPI number for Jeremy Douglas is 1841003316. It was assigned to this individual provider in the NPPES registry on January 29, 2025.

Where is Jeremy Douglas located?

Jeremy Douglas practices at 2200 Grande Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 218-6383.

What is Jeremy 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 Jeremy Douglas was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.