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Contact Information

ROBERT DOUK, LEP, BCBA-D
11358 KNOTT ST.
GARDEN GROVE, CA92841
 Phone: 800-249-1266
 Fax: 800-385-8191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT DOUK · (Male)

NPI Number 1457625295
Status Active
Credentials LEP, BCBA-D
Entity Individual
Enumeration date 02/24/2012
Last updated 04/11/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # BCBA-D 1-08-4069
  • CA License # LEP 3066
  • CA License # LEP3066
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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