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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIC EDWARD BOEHNKE

Active Sole Proprietor

DOMINIC EDWARD BOEHNKE is a Behavior Technician healthcare provider located in ST AUGUSTINE, Florida. NPI 1659099117 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · ST AUGUSTINE, FL

Registration Details

NPI Number
1659099117
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2022 (3.8037006526002 yrs)
Last Updated
Aug 19, 2022
License
RBT-22-228771 (FL)
Sole Proprietor
Yes

Practice Information

Address
180 CENTER PLACE WAY
ST AUGUSTINE, FL, 320958859
Browse FL providers · Browse ZIP 32095
Phone
9042402179
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in ST AUGUSTINE, FL

Name Credential NPI
ERIN ELIZABETH WALSH GREGOS 1518400597
DIAMOND ANN NELSON 1518400993
NOKOMIS NATAVIA LAZENBERRY 1154865038
CHRISTIN JALALI 1679019251
KELLY MARIE HANKINS 1588101109
SADIE OWENS 1083151344
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.