Dominique Renee Prince

NPI #1013482124 in Las Vegas, Nevada

Provider Information

NPI Number: 1013482124
Entity Type: Individual
Name: Dominique Renee Prince
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 4, 2018
Last Updated: Jul 15, 2022

Practice Location

Address: 5940 S RAINBOW BLVD
City: Las Vegas
State: Nevada
ZIP Code: 89118-2506
Phone: (888) 531-8385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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