SearchGeorgiaBehavior Technician

Dominique Willock

NPI 1053073189 · on the registry since 2021 · sole proprietor

Practice

Address
1624 Bennett Dr
Mcdonough, GA 30253
Phone
(516) 808-0591

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Sex
Female
Record last updated
2021-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia