Individual
JAY JAY DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W MAIN ST STE 220, MESQUITE, TX 75149-4224
(214) 351-3490
Mailing address
120 W MAIN ST STE 220, MESQUITE, TX 75149-4224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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