Individual
DOMINIQUE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 E ILLINOIS ST UNIT 3503, CHICAGO, IL 60611-5368
(719) 640-2465
Mailing address
445 E ILLINOIS ST UNIT 3503, CHICAGO, IL 60611-5368
(719) 640-2465
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64585
IL
Other
Enumeration date
09/28/2022
Last updated
02/27/2025
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