NPI 1003385485

Dominique Renee Fleming

Practitioner Behavior Technician Lansing, IL

Practice location

Address: 18020 Ridgeland Ave, Lansing, IL 60438-1549
Phone: (708) 573-8585

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003385485
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2018
Record last updated: 15 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.