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

Mr. Domynik Matthew Mowrey

Individual provider Behavior Technician · NPI 1578347746

Mr. Domynik Matthew Mowrey is a Behavior Technician in Edwardsville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
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Practice location Address checks out

400 Saint Louis St Ste 1
Edwardsville, IL 62025-1979
Phone: (618) 226-4397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-286519 (IL)

Record details

NPI number1578347746
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

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