What is Keldrick Douglas's NPI number?

Keldrick Douglas's National Provider Identifier (NPI) is 1801578117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Keldrick Douglas's specialty?

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

Where is Keldrick Douglas located?

Keldrick Douglas's practice location on file with NPPES is 1635 Penny Ln Se, Marietta, GA 30067-4410.

What is Keldrick Douglas's phone number?

The practice phone number listed in the NPPES registry for Keldrick Douglas is (229) 380-1050.

Is Keldrick Douglas's NPI active?

Yes — Keldrick Douglas's NPI (1801578117) is active in the NPPES registry as of the last update on 2023-08-04.

IndividualActive

Keldrick Douglas

NPI 1801578117 · Behavior Technician · Marietta, GA

Keldrick Douglas is a Behavior Technician provider in Marietta, GA (NPI 1801578117).

Provider details

NPI number: 1801578117
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(51/100 index)

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

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% 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

1635 Penny Ln Se

Marietta, GA 30067-4410

Phone: (229) 380-1050

Street-level locationGet directions

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Mailing address