Individual
DOMINIQUE ALEXIS RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
(703) 492-2686
Mailing address
5929 HAVENER HOUSE WAY, CENTREVILLE, VA 20120-3208
(703) 492-2686
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-99797
VA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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