Most Relevant Information
Provider Data
| NPI Number: | 1003485061 |
| Provider Name: | DOMINIQUE SYLVAIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2021 |
| Last Updated: | 06/23/2021 |
Provider Practice Location
3070 BUSINESS PARK DR STE B
NORCROSS
GA
300711428
Practice Location Phone/Fax
| Phone: | 7708841050 |
| Fax: |
Provider Mailing Location
3070 BUSINESS PARK DR STE B
NORCROSS
GA
300711428
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |