Individual
MR. DELAWN ALAN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303
(888) 880-9270
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-15-21249
CA
103K00000X
Behavior Analyst
Primary
1-15-21249
GA
103K00000X
Behavior Analyst
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Other
Enumeration date
05/09/2016
Last updated
08/20/2018
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