Individual
BRIAN PATRICK DEDOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1858 E 8TH AVE, SPOKANE, WA 99202-3410
(509) 999-5657
(509) 214-6400
Mailing address
1858 E 8TH AVE, SPOKANE, WA 99202-3410
(509) 999-5657
(509) 214-6400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2017
Last updated
07/21/2022
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