Dominique Willock
Dominique Willock is a Behavior Technician in McDonough, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1624 Bennett DrMcDonough, GA 30253-9010
Phone: (516) 808-0591
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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 | 1053073189 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 6, 2021 |
| Last updated in NPPES | October 6, 2021 |
| Certification date | October 6, 2021 |
| Mailing address | 1624 Bennett Dr, McDonough, GA 30253-9010 |
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