Individual
DOMINIQUE ANTOINETTE DAVILA-BARAJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12112 KAW DR, KANSAS CITY, KS 66111-1102
(913) 253-6930
Mailing address
12112 KAW DR, KANSAS CITY, KS 66111-1102
(913) 253-6930
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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