Active NPI
Allaina Douglas, M.A., BCBA
- Behavior Analyst
- Harrisburg, OR
National Provider Identifier
1154806909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-25983
- Practice address
- 32663 Bush Garden Dr
Harrisburg, OR 97446-9751 - Phone
- (503) 296-5396
- NPI assigned
- Sep 27, 2018
- Last updated
- Sep 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-17-25983 | MI | Primary |
Addresses
Primary practice location
32663 Bush Garden Dr
Harrisburg, OR 97446-9751
Mailing address
32663 Bush Garden Dr
Harrisburg, OR 97446-9751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-17-25983 | Other | BCBA |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1154806909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32663 BUSH GARDEN DR",
"city": "HARRISBURG",
"state": "OR",
"postal_code": "974469751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32663 BUSH GARDEN DR",
"city": "HARRISBURG",
"state": "OR",
"postal_code": "974469751",
"telephone_number": "503-296-5396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "ALLAINA",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "1-17-25983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-17-25983",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.