Individual
ASUMI DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1335 N DUTTON AVE # 95401, SANTA ROSA, CA 95401-4609
(707) 888-2927
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(949) 833-2237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15824
—
Other
Enumeration date
05/28/2014
Last updated
09/17/2020
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