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

Individual provider Behavior Technician · NPI 1780396044

Dominique Young-Fomby is a Behavior Technician in Flint, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

5039 Villa Vinde Pkwy Ste #30
Flint, MI 48532
Phone: (989) 401-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Technician Taxonomy 106S00000X (MI)

Record details

NPI number1780396044
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 15, 2022

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