EBONY DOMINGO

Case Manager/Care Coordinator

Active Individual
NPI: 1518582394

Practice Address

1582 N WAGGONER RD
Blacklick, OH 43004

Phone: (303) 989-8169

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X No -
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1518582394 is the National Provider Identifier for EBONY DOMINGO, a Case Manager/Care Coordinator provider located in Blacklick, OH. This NPI was enumerated on June 8, 2020.
EBONY DOMINGO practices at 1582 N WAGGONER RD, Blacklick, OH 43004.

Quick Facts

NPI
1518582394
Type
Individual
Enumerated
Jun 8, 2020
Last Updated
Jul 23, 2021

Nearby Providers