Individual
MS. KESSA VICTORIA RACHEL DOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA, MS
Contact information
Practice address
1220 MAIN ST STE 400, VANCOUVER, WA 98660-2963
(866) 523-4268
Mailing address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/15/2020
Last updated
03/11/2025
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