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

Dominique Wilson

Individual provider Developmental Therapist · NPI 1750867511

Dominique Wilson is a Developmental Therapist in Atlanta, Georgia. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1017 Fayetteville Rd SE # B
Atlanta, GA 30316-2932
Phone: (404) 486-9034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1750867511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESJuly 16, 2018
Mailing address1017 Fayetteville Rd Se # B, Atlanta, GA 30316-2932

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