Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anicka Inez Douglas

Individual provider Behavior Technician · NPI 1114402096

Anicka Inez Douglas is a Behavior Technician in Melville, New York. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

225 Broadhollow Rd Ste 402
Melville, NY 11747
Phone: (631) 385-7780
Fax: (631) 385-7795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1114402096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2018
Last updated in NPPESSeptember 26, 2018
Mailing address7000 Austin St, Forest Hills, NY 11375-1022

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