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

Mya E Douglas

Individual provider Behavior Technician · NPI 1790654705

Mya E Douglas is a Behavior Technician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

1001 Laurence Ave Ste E
Jackson, MI 49202-2980
Phone: (517) 750-4777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1790654705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address1001 Laurence Ave Ste E, Jackson, MI 49202-2980

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