Individual
SHAVANNA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BRICKELL AVE STE 500, MIAMI, FL 33131-2803
(305) 330-4660
(786) 217-1376
Mailing address
11233 SW 243RD TER, HOMESTEAD, FL 33032-7124
(786) 397-2761
(786) 217-1376
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16005
FL
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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