Dominic Robert Greenough

NPI #1699468405 in Petoskey, Michigan

Provider Information

NPI Number: 1699468405
Entity Type: Individual
Name: Dominic Robert Greenough
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 29, 2023
Last Updated: May 29, 2023

Practice Location

Address: 910 SPRING ST STE 4
City: Petoskey
State: Michigan
ZIP Code: 49770-2881
Phone: (231) 268-0007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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