Individual
JAMIA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 VETERANS PKWY, COLUMBUS, GA 31909-6223
(813) 438-7964
Mailing address
1202 TECH BLVD STE 103, TAMPA, FL 33619-7863
(813) 438-6796
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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