DOMINIC BOEHNKE

Behavior Technician

Active Individual
NPI: 1659099117

Practice Address

180 CENTER PLACE WAY
St Augustine, FL 32095

Phone: (904) 240-2179

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes RBT-22-228771 (FL)

Frequently Asked Questions

NPI 1659099117 is the National Provider Identifier for DOMINIC BOEHNKE, a Behavior Technician provider located in St Augustine, FL. This NPI was enumerated on August 19, 2022.
DOMINIC BOEHNKE practices at 180 CENTER PLACE WAY, St Augustine, FL 32095.

Quick Facts

NPI
1659099117
Type
Individual
Enumerated
Aug 19, 2022
Last Updated
Aug 19, 2022

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