Delawn Alan Douglas, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-21249 Issued in GA

Practice address

260 Peachtree St NW Ste 2200
Atlanta, GA 30303

Phone

(888) 880-9270

NPI assigned

May 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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.

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    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1831545847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411817",
            "telephone_number": "888-880-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PEACHTREE ST NW STE 2200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "888-880-9270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4712 E 2nd St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908035309",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1433 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Canada",
            "state": "CA",
            "postal_code": "910112109",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17037 Chatsworth St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445874",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Fremont Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910305704",
            "country_code": "US",
            "telephone_number": "881-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "DELAWN",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-15-21249",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-21249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yhaneek N Douglas-Mattis
• Andrea Gabrielle Douglas, PHARMD
• Arleshia Chanel Douglas
• Beverly Goode Douglas, MD
• Consuela Delores Douglas
• James Alexander Miller Douglas III
• Jeremy Douglas, RDN
• Jodian Kedoya Douglas
• John S Douglas Jr.
• Kelley Douglas

• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.