Dominique Waller
Dominique Waller is a Behavior Technician in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2024.
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
214 Westside Blvd Apt 6Roanoke, VA 24017
Phone: (540) 278-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-23-281401 (VA) |
|---|
Record details
| NPI number | 1790529568 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 25, 2024 |
| Last updated in NPPES | June 25, 2024 |
| Certification date | June 25, 2024 |
| Mailing address | 214 Westside Blvd, Apt. 6, Roanoke, VA 24017 |
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