Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kennedi Douglas

Individual provider Behavior Technician · NPI 1033029053

Kennedi Douglas is a Behavior Technician in Grain Valley, Missouri. Licensed in Missouri. Registered with an NPI since 2026.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

120 SW Garden St
Grain Valley, MO 64029-9548
Phone: (816) 265-1170
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 26-2849365 (MO)

Record details

NPI number1033029053
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2026
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 10, 2026

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