Dylan Cole Domingos

NPI #1831750793 in Edmonds, Washington

Provider Information

NPI Number: 1831750793
Entity Type: Individual
Name: Dylan Cole Domingos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 21, 2019
Last Updated: Jun 21, 2019

Practice Location

Address: 5804 143RD ST SW UNIT A
City: Edmonds
State: Washington
ZIP Code: 98026-3724
Phone: (559) 478-3996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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