Domineque Borders

NPI #1376395913 in Ada, Oklahoma

Provider Information

NPI Number: 1376395913
Entity Type: Individual
Name: Domineque Borders
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 5, 2024
Last Updated: Apr 5, 2024

Practice Location

Address: 1300 HOPPE BLVD STE 3
City: Ada
State: Oklahoma
ZIP Code: 74820-2319
Phone: (405) 857-8280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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