Individual provider · Type 1 NPI

Jodi Gayle Douglass

Behavior Technician · Conway, AR

NPI number 1205743499 Active

Practice location

2740 College Ave
Conway, AR 72034-6141

Call (501) 329-5459 Map

Mailing address

1000 Swn Dr Ste 101
Conway, AR 72032-2558

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1205743499

Jodi Gayle Douglass's National Provider Identifier is 1205743499, issued on Aug 25, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Conway, AR. The record was last updated on Aug 25, 2026.