What is Kevin Douglas's NPI number?

Kevin Douglas's National Provider Identifier (NPI) is 1679936785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kevin Douglas's specialty?

Kevin Douglas is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Kevin Douglas located?

Kevin Douglas's practice location on file with NPPES is 3473 Cannon Way, Live Oak, CA 95953-9654.

What is Kevin Douglas's phone number?

The practice phone number listed in the NPPES registry for Kevin Douglas is (630) 635-1091.

Is Kevin Douglas's NPI active?

Yes — Kevin Douglas's NPI (1679936785) is active in the NPPES registry as of the last update on 2016-04-18.

IndividualActive

Kevin Douglas, MA, BCBA

NPI 1679936785 · Behavior Analyst · Live Oak, CA

Kevin Douglas, MA, BCBA is a Behavior Analyst provider in Live Oak, CA (NPI 1679936785).

Provider details

NPI number: 1679936785
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Credential: MA, BCBA
Sex: Male
Sole proprietor: Yes
License: 1-16-21667 (CA)

Specialties & taxonomies

Behavior AnalystPrimary103K00000XLicense 1-16-21667 (CA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3473 Cannon Way

Live Oak, CA 95953-9654

Phone: (630) 635-1091

Approximate (ZIP-level) locationGet directions

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Mailing address