Keldrick Douglas
Keldrick Douglas is a Behavior Technician in Marietta, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1635 Penny Ln SEMarietta, GA 30067-4410
Phone: (229) 380-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1801578117 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 4, 2023 |
| Last updated in NPPES | August 4, 2023 |
| Certification date | August 4, 2023 |
| Mailing address | 1635 Penny Ln Se, Marietta, GA 30067-4410 |
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