Individual
DOMINIQUE C EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8020 W SAHARA AVE STE 125, LAS VEGAS, NV 89117-7917
(702) 470-0620
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
RBT-19-87337
NV
Other
Enumeration date
03/19/2019
Last updated
05/04/2022
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