NPI 1053073189

Dominique Willock

Practitioner Behavior Technician McDonough, GA

Practice location

Address: 1624 Bennett Dr, McDonough, GA 30253-9010
Phone: (516) 808-0591

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Georgia →

Registry record

NPI: 1053073189
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2021
Record last updated: 6 Oct 2021

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.