Dominique Shorter

NPI #1114394921 in Addison, Illinois

Provider Information

NPI Number: 1114394921
Entity Type: Individual
Name: Dominique Shorter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 27, 2015
Last Updated: Aug 27, 2015

Practice Location

Address: 2195 W CIMARRON WAY
City: Addison
State: Illinois
ZIP Code: 60101-1596
Phone: (708) 491-0114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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