Dominique Prothro

NPI #1871225516 in Olivette, Missouri

Provider Information

NPI Number: 1871225516
Entity Type: Individual
Name: Dominique Prothro
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 30, 2022
Last Updated: Jun 30, 2022

Practice Location

Address: 9374 OLIVE BLVD
City: Olivette
State: Missouri
ZIP Code: 63132-3267
Phone: (314) 932-2402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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