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

Domonique Richardson

Individual provider Behavior Technician · NPI 1003525072

Domonique Richardson is a Behavior Technician in Fairfax, Virginia. Registered with an NPI since 2022.

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

10340 Democracy Ln Ste BAND103
Fairfax, VA 22030-2518
Phone: (571) 386-0871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1003525072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2022
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address5850 Granite Pkwy Ste 600, Plano, TX 75024-6753

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