Edna Dominique
NPI #1740815489 in Lauderhill, Florida
Provider Information
- NPI Number
- 1740815489
- Entity Type
- Individual
- Name
- Edna Dominique
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 3, 2020
- Last Updated
- Mar 3, 2020
Practice Location
- Address
- 4931 NW 85TH TER
- City
- Lauderhill
- State
- Florida
- ZIP Code
- 33351-5454
- Phone
- (561) 843-9709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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