NPI 1013664325

Kierstin M Douglas

Practitioner Behavior Technician Bentonville, AR

Practice location

Address: 2703 SE Otis Corley Dr STE 11, Bentonville, AR 72712-3414
Phone: (917) 905-0139

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Arkansas →

Registry record

NPI: 1013664325
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2022
Record last updated: 7 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.