Individual
AYANA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 WARREGO WAY, SACRAMENTO, CA 95826-2433
(916) 291-9121
Mailing address
2545 WARREGO WAY, SACRAMENTO, CA 95826-2433
(916) 291-9121
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
E2546162
CA
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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