Taylor, Dominque Desaquan
Taylor, Dominque Desaquan is an individual health care provider with primary practice located at 1680 E Central Ave , Merritt Island FL 32952-5675. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Taylor, Dominque Desaquan can be contacted via phone (904) 333-3059.Contact Information
Primary practice address
1680 E Central Ave
Merritt Island FL 32952-5675
Phone: (904) 333-3059
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | T460-164-97-841-0 | Florida |
Profile Details
| NPI number | 1366950636 |
|---|---|
| LBN Legal business name | Taylor, Dominque Desaquan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2018 |
| Last updated | Jan 19th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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