Dominique Burt
Dominique Burt is a Behavior Technician in Kentwood, Michigan. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3361 36th St SEKentwood, MI 49512-2809
Phone: (616) 475-7577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1841893914 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 19, 2020 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
| Mailing address | 3361 36th St Se, Kentwood, MI 49512-2809 |
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