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

Individual provider Behavior Analyst · NPI 1679936785

Kevin Douglas, MA, BCBA is a Behavior Analyst in Live Oak, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

3473 Cannon Way
Live Oak, CA 95953-9654
Phone: (630) 635-1091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-16-21667 (CA)

Record details

NPI number1679936785
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , BCBA
Sole proprietorYes
NPI enumeratedApril 5, 2016
Last updated in NPPESApril 18, 2016

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