Individual
RICHARD P DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2228 BLACK ROCK TPKE STE 302, FAIRFIELD, CT 06825-3237
(203) 292-6949
Mailing address
2228 BLACK ROCK TPKE STE 302, FAIRFIELD, CT 06825-3237
(203) 292-6949
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36988
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-14-5069
BACB
CT
Enumeration date
02/19/2013
Last updated
03/20/2025
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