Active NPI
Yosra Douga
- Behavior Technician
- Lanham, MD
National Provider Identifier
1073131801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4301 Forbes Blvd
Lanham, MD 20706-4445 - Phone
- (443) 539-2357
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4301 Forbes Blvd
Lanham, MD 20706-4445
Mailing address
26 Meadow PL
Waldorf, MD 20601-2924
Other practice location 1
1923 Welsh Rd
Philadelphia, PA 19115-4659
Phone (215) 769-9223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1073131801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MEADOW PL",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 FORBES BLVD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064445",
"telephone_number": "443-539-2357"
}
],
"practiceLocations": [
{
"address_1": "1923 Welsh Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191154659",
"country_code": "US",
"telephone_number": "215-769-9223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGA",
"first_name": "YOSRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.