Individual
ROYAL DOMINGO FLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 HEIZER ST APT C, GREAT BEND, KS 67530-2750
(785) 210-6085
Mailing address
1919 HEIZER ST APT C, GREAT BEND, KS 67530-2750
(785) 210-6085
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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