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

Individual provider Behavior Technician · NPI 1275097396

Jacqueline Douthat is a Behavior Technician in Atlanta, Georgia. Practices as a sole proprietor and works from 3 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1920 Briarcliff Rd NE
Atlanta, GA 30329-4010
Phone: (404) 785-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1549 Clairmont Rd Ste 103, Decatur, GA 30033-4635 — (404) 480-3842
  • 5488 Chamblee Dunwoody Rd Ste 7, Dunwoody, GA 30338-4161 — (404) 480-3842

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-19-36861 (GA)
Behavior Technician Taxonomy 106S00000X · Licence RBT-15-07274

Record details

NPI number1275097396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 23, 2019
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021

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