NPI 1083440291

Vanessah Heavenly Dominique

Practitioner Assistant Behavior Analyst Doylestown, PA

Practice location

Address: 132 Veterans Ln Unit A-320, Doylestown, PA 18901-3413
Phone: (855) 832-6727

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 32673489 (PA)

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Registry record

NPI: 1083440291
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2024
Record last updated: 12 Sep 2024

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.