MYA DOUGLAS
Behavior Technician
Active
Individual
NPI: 1790654705
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1790654705 is the National Provider Identifier for MYA DOUGLAS, a Behavior Technician provider located in Jackson, MI. This NPI was enumerated on October 30, 2025.
MYA DOUGLAS practices at 1001 LAURENCE AVE STE E, Jackson, MI 49202.
Quick Facts
- NPI
- 1790654705
- Type
- Individual
- Enumerated
- Oct 30, 2025
- Last Updated
- Oct 30, 2025
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