Kylie Erin Douglas, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-26-90774 Issued in NC

Practice address

3911 Wrightsville Ave
Wilmington, NC 28403-6225

Phone

(919) 737-2292

NPI assigned

Aug 15, 2026

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

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1700791753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12363 BIG CANOE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036225",
            "telephone_number": "919-737-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KYLIE",
        "middle_name": "ERIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-26-90774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan B Dougherty
• Ryan Dougherty, PA-C
• Ryan Cameron Dougherty, M.D.
• Douglas F. Degroote, DDS
• Douglas L. Fowler, DDS, PLLC
• Haeli Dove
• Kelli Avery Dove, CRNA
• Summer Dow
• Mary E Dowcett, P-LCSW
• Mary Jean Dowd, LCAS-A

• Behavior Analyst in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.