Kathryn Anne Douglas, BCBA, LCPC, LPCC is a
Behavior Analyst based in Quincy, Illinois. Kathryn Anne Douglas is licensed to practice in Illinois (license number 1-19-35663) and her current practice location is
535 Maine St, Quincy, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 577-2176.
NPI number for Kathryn Anne Douglas is 1922102409 and her current mailing address is 2909 Selkirk Ln, Quincy, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922102409.
Healthcare Provider's Profile
Full Name | Kathryn Anne Douglas |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 535 Maine St, Quincy, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922102409
- Provider Enumeration Date: 09/12/2006
- Last Update Date: 10/17/2023
Medical Identifiers
Medical identifiers for Kathryn Anne Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922102409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 180007537 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 2009032566 (Missouri) | Secondary |
101YP2500X | Counselor - Professional | 13837 (California) | Secondary |
103K00000X | Behavior Analyst | 1-19-35663 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Anne Douglas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathryn Anne Douglas, BCBA, LCPC, LPCC 2909 Selkirk Ln, Quincy, IL 62305-6525 Ph: (415) 580-0239 | Kathryn Anne Douglas, BCBA, LCPC, LPCC 535 Maine St, Quincy, IL 62301-3950 Ph: (217) 577-2176 |
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