Individual
JACQUELINE DOUTHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9400
Mailing address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36861
GA
106S00000X
Behavior Technician
RBT-15-07274
—
Other
Enumeration date
01/23/2019
Last updated
04/09/2021
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