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Individual

DR. ROBERT DOUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LEP, BCBA-D

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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