Ayana Douglas

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

E2546162 Issued in CA

Practice address

2545 Warrego Way
Sacramento, CA 95826-2433

Phone

(916) 291-9121

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1124667357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 WARREGO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262433",
            "telephone_number": "916-291-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 WARREGO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262433",
            "telephone_number": "916-291-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 Warrego Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262433",
            "country_code": "US",
            "telephone_number": "916-291-9121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "AYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "E2546162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond S Dougherty, M.D.
• Sara Ellen Dougherty, M.D.
• Douglas a. Lott DDS Inc
• Douglas Young, M.D.,Inc.
• Alexandra Douglas
• Erica Morgan Douglas
• Holly Douglas
• Melissa Douglas
• Nilka E. Douglas
• Rebecca Douglas, LCSW

• Behavior Analyst in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.