Individual provider · Type 1 NPI
Ali Grace Douglass
Developmental Therapist · Bloomington, IL
Practice location
21 Ivey Ct
Bloomington, IL 61701-7851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1770425928
Ali Grace Douglass's National Provider Identifier is 1770425928, issued on Apr 7, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bloomington, IL. The record was last updated on Apr 7, 2026.