Individual
KENITA KAYELA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14327 GEORGIA AVE APT 202, SILVER SPRING, MD 20906-2778
(301) 661-5244
Mailing address
14327 GEORGIA AVE APT 202, SILVER SPRING, MD 20906-2778
(301) 661-5244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA2297
MD
Other
Enumeration date
10/28/2020
Last updated
08/08/2025
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