Douglas, Quontiqa
Douglas, Quontiqa is an individual health care provider with primary practice located at 1212 Augusta West Pkwy , Augusta GA 30909-1808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Douglas, Quontiqa can be contacted via phone (706) 826-2770.Contact Information
Primary practice address
1212 Augusta West Pkwy
Augusta GA 30909-1808
Phone: (706) 826-2770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 14600 | Georgia |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1043782402 |
|---|---|
| LBN Legal business name | Douglas, Quontiqa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2018 |
| Last updated | Feb 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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