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1104697408
DOMINIQUE ALLEN
MELVILLE, NY
NPI
1104697408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
DOMINIQUE ALLEN
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
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Mailing Address
DOMINIQUE ALLEN
314 S OCEAN AVE APT 2D
FREEPORT, NY 11520-4958
Phone number: 516-582-6473
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