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

Kierstin M Douglas

Individual provider Behavior Technician · NPI 1013664325

Kierstin M Douglas is a Behavior Technician in Bentonville, Arkansas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2703 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3414
Phone: (917) 905-0139
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 number1013664325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2022
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address2703 Se Otis Corley Dr Ste 11, Bentonville, AR 72712-3414

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