Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE WILLOCK
Active Sole ProprietorDOMINIQUE WILLOCK is a Behavior Technician healthcare provider located in MCDONOUGH, Georgia. NPI 1053073189 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · MCDONOUGH, GA
Registration Details
- NPI Number
- 1053073189
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2021 (4.878407095232 yrs)
- Last Updated
- Oct 6, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1624 BENNETT DRMCDONOUGH, GA, 302539010Browse GA providers · Browse ZIP 30253
- Phone
- 5168080591
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in MCDONOUGH, GA
| Name | Credential | NPI |
|---|---|---|
| YATISHA B ROBERSON | — | 1760986574 |
| DEIRDRE CARTER | — | 1730720368 |
| SHARMELINEE SMITH | — | 1396387759 |
| JACLYN YIN | — | 1750916896 |
| DANIELLE HURDLE | — | 1164031621 |
| MR. NATHANIEL J MOORE | — | 1003426461 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.