Individual
MARIA DOMINIQUE SANTOS DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 COUNTY ROAD 58, MANVEL, TX 77578-2927
(346) 642-6522
Mailing address
3405 COUNTY ROAD 58, MANVEL, TX 77578-2927
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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