Individual
DOMINIQUE BOURHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD STE 302, BELLMORE, NY 11710-5784
(516) 590-7575
Mailing address
7 HICKORY CT, MANHASSET, NY 11030-3924
(516) 816-0200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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