Individual
DOMONIQUE EHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
39 MICHELE DR, HAMPTON, VA 23669-1940
(606) 425-3737
Mailing address
39 MICHELE DR, HAMPTON, VA 23669-1940
(606) 425-3737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-106297
VA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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