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

Lavita Douglas

Individual provider Behavior Technician · NPI 1760356299

Lavita Douglas is a Behavior Technician in Portage, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3125 Willowcreek Rd
Portage, IN 46368-4423
Phone: (574) 387-4313
Fax: (574) 204-2868
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 number1760356299
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address215 Red Coach Dr, Mishawaka, IN 46545-8307

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