Jakia Douglas

NPI 1740752369 · on the registry since 2018

Practice

Address: 634 N Main St Ste 4
O Fallon, IL 62269
Phone: (618) 726-0701
Organisation at this address: Abc Pediatric Therapy, Llc
Appletree Therapy Services, Llc
Appletree Therapy Services, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 134

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois