Amber Douglas, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

21-182463 Issued in PA

Practice address

101 Saint George Blvd Apt 75
Savannah, GA 31419-9344

Phone

(724) 601-3466

Fax

(904) 538-0714

NPI assigned

Sep 16, 2021

Last updated

Jan 21, 2022By the provider in NPPES

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1578233995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566755",
            "telephone_number": "904-538-0713",
            "fax_number": "904-538-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT GEORGE BLVD APT 75",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199344",
            "telephone_number": "724-601-3466",
            "fax_number": "904-538-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "AMBER",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "21-182463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Dotterweich, RBT
• Richard Eugene Douberly Jr., CRNA
• Manon Doucet, MD
• Doug Smith DDS Orthodontics LLC (Smith Dental Specialties)
• Douglas Marira, MD, PC
• Laura Ann Douglas, PT
• Rena M. Douse, DNP
• Malissa G Dowd
• Dorlene Ellen Dowl, M ED, LPC, NCC
• James Troy Dowling, APC007295

• Behavior Technician in Savannah, GA
• Providers in Savannah, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.