Alexis Catherine Domzalski

NPI #1013646843 in Detroit, Michigan

Provider Information

NPI Number: 1013646843
Entity Type: Individual
Name: Alexis Catherine Domzalski
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 7, 2022
Last Updated: Jun 8, 2022

Practice Location

Address: 400 RENAISSANCE CTR STE 2600
City: Detroit
State: Michigan
ZIP Code: 48243-1502
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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