Individual provider · Type 1 NPI

Lavita Douglas

Behavior Technician · Portage, IN

NPI number 1760356299 Active

Practice location

3125 Willowcreek Rd
Portage, IN 46368-4423

Call (574) 387-4313 Map

Fax (574) 204-2868

Mailing address

215 Red Coach Dr
Mishawaka, IN 46545-8307

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 1760356299

Lavita Douglas's National Provider Identifier is 1760356299, issued on Sep 29, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Portage, IN. The record was last updated on Sep 29, 2025.