Individual
DOMINIQUE FOLKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6409 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7454
(360) 718-8376
Mailing address
3510 NE 42ND ST, VANCOUVER, WA 98661-3169
(435) 757-0089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61375471
WA
106S00000X
Behavior Technician
CB60925748
WA
Other
Enumeration date
07/01/2021
Last updated
01/19/2023
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