Individual
DR. ROBERT DOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEP, BCBA-D
Contact information
Practice address
11358 KNOTT ST., GARDEN GROVE, CA 92841
(800) 249-1266
(800) 385-8191
Mailing address
11358 KNOTT ST., GARDEN GROVE, CA 92841
(800) 249-1266
(800) 385-8191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BCBA-D 1-08-4069
CA
103T00000X
Psychologist
LEP 3066
CA
103TS0200X
School Psychologist
Primary
LEP3066
CA
Other
Enumeration date
02/24/2012
Last updated
04/11/2013
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