Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Edwards

Individual provider Behavior Technician · NPI 1699347377

Dominique Edwards is a Behavior Technician in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

2104 Greenbriar Dr
Southlake, TX 76092-8355
Phone: (817) 442-9022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-169663 (TX)

Record details

NPI number1699347377
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 13, 2021
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021
Mailing address2104 Greenbriar Dr, Southlake, TX 76092-8355

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