NPI 1003522004

Laisha R Dominick

Practitioner Behavior Technician Metairie, LA

Practice location

Address: 4201 N I 10 Service Rd W, Metairie, LA 70006-6713
Phone: (888) 880-9270
Mailing address: 500 Fairway Dr STE 102, Deerfield Beach, FL 33441-1817

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Louisiana →

Registry record

NPI: 1003522004
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2023
Record last updated: 24 Jan 2023

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.