Individual
DOMINIQUE MANNERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 W BELTLINE HWY, MADISON, WI 53713-2848
(608) 819-6810
Mailing address
6225 SMITH AVE STE 1001A, BALTIMORE, MD 21209-3626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-22-203703
FL
Other
Enumeration date
02/17/2022
Last updated
12/03/2025
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