SearchIllinoisBehavior Technician

Alyssa Dominique

NPI 1114727120 · on the registry since 2025

Practice

Address
1718 N Honore St Apt 2r
Chicago, IL 60622
Phone
(740) 541-8086

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Sex
Male
Record last updated
2025-03-18

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 Illinois