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

Individual provider Dance Therapist · NPI 1497484018

Dominque Andriese Fickling, LCAT is a Dance Therapist in Nyack, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

149 Cedar Hill Ave
Nyack, NY 10960-2424
Phone: (917) 736-4507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dance Therapist (primary) Taxonomy 225600000X · Licence 002676-01 (NY)

Record details

NPI number1497484018
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAT
Sole proprietorYes
NPI enumeratedJune 8, 2022
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

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