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

Ayodele Regina Douglas, MENTALHEALTHPRACTI

Individual provider Behavior Technician · NPI 1548890379

Ayodele Regina Douglas, MENTALHEALTHPRACTI is a Behavior Technician in Minneapolis, Minnesota. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2800 Freeway Blvd Ste 204
Minneapolis, MN 55430-1751
Phone: (763) 412-1996
Fax: (763) 292-5653
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 number1548890379
Entity typeIndividual (Type 1)
GenderFemale
Credentials MENTALHEALTHPRACTI
Sole proprietorNo
NPI enumeratedJanuary 21, 2020
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020

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