Individual
DOMINIQUE SHARQUEECE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2110 E FLAMINGO RD STE 350, LAS VEGAS, NV 89119-5190
(702) 270-3219
Mailing address
2110 E FLAMINGO RD STE 350, LAS VEGAS, NV 89119-5190
(702) 270-3219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-46059
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700392677
—
NV
Enumeration date
12/14/2017
Last updated
02/08/2023
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