MRS. Ivy Amelia Domont
NPI #1912366345 in Northbrook, Illinois
Provider Information
- NPI Number
- 1912366345
- Entity Type
- Individual
- Name
- MRS. Ivy Amelia Domont
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Feb 12, 2016
- Last Updated
- Feb 12, 2016
Practice Location
- Address
- 85 REVERE DR STE AA
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-8001
- Phone
- (847) 564-0822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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