Dominique Shine

NPI #1558030551 in Arcadia, Florida

Provider Information

NPI Number: 1558030551
Entity Type: Individual
Name: Dominique Shine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 13, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 1740 NE HAMMOCK ST
City: Arcadia
State: Florida
ZIP Code: 34266-2602
Phone: (863) 263-6912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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