Individual
MICHAEL LAMAR DOUGLAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 S 24TH ST APT 203, OMAHA, NE 68102-1222
(402) 669-2785
Mailing address
210 S 24TH ST APT 203, OMAHA, NE 68102-1222
(402) 669-2785
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
H13945251
NE
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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