Dominique Connor

NPI #1750869608 in Alta Loma, California

Provider Information

NPI Number: 1750869608
Entity Type: Individual
Name: Dominique Connor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 2, 2018
Last Updated: Aug 2, 2018

Practice Location

Address: 7157 ARCHIBALD AVE APT 168
City: Alta Loma
State: California
ZIP Code: 91701-5079
Phone: (909) 578-6448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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