DOMINIQUE BALLEW

Behavior Technician

Active Individual
NPI: 1093576738

Practice Address

16360 ROSCOE BLVD STE 100
Van Nuys, CA 91406

Phone: (855) 223-7123

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1093576738 is the National Provider Identifier for DOMINIQUE BALLEW, a Behavior Technician provider located in Van Nuys, CA. This NPI was enumerated on January 19, 2024.
DOMINIQUE BALLEW practices at 16360 ROSCOE BLVD STE 100, Van Nuys, CA 91406.

Quick Facts

NPI
1093576738
Type
Individual
Enumerated
Jan 19, 2024
Last Updated
Jan 19, 2024

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