Individual
DOMINIK MAURICE BRITTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 GARCIA ST NE, ALBUQUERQUE, NM 87123-1117
(505) 331-7117
Mailing address
400 GARCIA ST NE, ALBUQUERQUE, NM 87123-1117
(505) 331-7117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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