RICHARD P DOUGLAS (NPI# 1588904122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588904122 |
| Entity Type | Individual |
| Full Name | RICHARD P DOUGLAS |
| Credential | BCABA |
| Practice Address |
2505 Black Rock Tpke 2nd Floor Fairfield CT 06825-2408 |
| Practice Telephone | 2032926949 |
| Mailing Telephone | 2032926949 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0-14-5069 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BACB | 0-14-5069 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961669 | Richard Allen Douglas | Neurological Surgery | 527 Medical Park Drive, Suite 401, Bridgeport, WV 26330 | 2005-12-05 |
| 1033105515 | Richard N Douglas | Optometrist | 10431 Patterson Ave, Richmond, VA 23238-5101 | 2005-09-21 |
| 1528220126 | Richard C Douglas | Dentist | 660 N State Road 7, Suite 12, Plantation, FL 33317-2117 | 2008-06-26 |
| 1710935804 | Richard Douglas | Physician Assistant | 3600 30th St, Primary Care, Des Moines, IA 50310-5876 | 2006-05-04 |
| 1659336824 | Richard D. Douglas | Occupational Therapist | 801 Tilton Rd, Novacare, Northfield, NJ 08225-1265 | 2006-04-19 |
| Street Address |
2505 BLACK ROCK TPKE 2ND FLOOR |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376825539 | Kimberly Piro Stewart | Occupational Therapist | 2505 Black Rock Tpke, Fairfield, CT 06825-2408 | 2011-09-14 |
| 1447756861 | Erika Joan Garvey | Physical Therapist | 2505 Black Rock Tpke, Fairfield, CT 06825-2408 | 2018-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831750918 | Stephanie Lopez | Behavioral Analyst | 1403 Clementine Ln, Fairfield, CA 94533-8035 | 2019-06-27 |
| 1720562390 | Sara Jardin | Behavioral Analyst | 744 Empire St # 160, Fairfield, CA 94533-5562 | 2018-09-19 |
| 1316423700 | Moktar Michael Doumbia | Behavioral Analyst | 66 Barlow Ct, Fairfield, CA 94533-6736 | 2018-07-18 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1740772458 | Dina Pollard | Behavioral Analyst | 5173 Amberwood Cir, Fairfield, CA 94534-6850 | 2018-05-30 |
| 1073000626 | Melanie Varian | Behavioral Analyst | 292 Hemlock Hills Rd N, Fairfield, CT 06824-1869 | 2018-04-19 |
| 1396283362 | Jan Marie Brosas Vista | Behavioral Analyst | 420 Mountain Meadows Dr, Fairfield, CA 94534-6759 | 2017-02-09 |
| 1801331806 | Missyanne Sandoval | Behavioral Analyst | 801 Jefferson St Ste 4, Fairfield, CA 94533-5557 | 2016-12-29 |
| 1689120842 | Daniella Ponce | Behavioral Analyst | 616 Parisio Cir, Fairfield, CA 94534-6753 | 2016-08-28 |
| 1831643634 | Colleen Carlos | Behavioral Analyst | 2901 Willow Ct, Fairfield, CA 94533-7743 | 2016-08-09 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on RICHARD P DOUGLAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.