Kessa Victoria Rachel Douse, BCBA, LBA, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1220 Main St Ste 400
Vancouver, WA 98660-2963

Phone

(866) 523-4268

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1083222095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MAIN ST STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602963",
            "telephone_number": "866-523-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUSE",
        "first_name": "KESSA",
        "middle_name": "VICTORIA RACHEL",
        "name_prefix": "Ms.",
        "credential": "BCBA, LBA, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Douglas, LACTATION CONSULTANT
• Ruth Douglas, CG 61026440
• Jessica Edlund Douglass, B.A
• Nathan Douglass
• Robert Earl Douglass, MD
• Hanna Douzhyk, LMT
• Natalie Dove, ASCP
• Phillip M Dove
• Roberta Jeanne Dowlin-Tamayo, RN
• Traci Downer

• Behavior Analyst in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.