NPI 1053889121
Samantha Douglas
Practice location
- Address
- 1411 Princess Anne Street, Fredericksburg, VA 22401
- Phone
- (540) 922-1110
- Mailing address
- 1865 Alamandine Ave, Aubrey, TX 76227-5605
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1053889121
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Nov 2018
- Record last updated
- 1 May 2023
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.