DOMINQUE DESAQUAN TAYLOR

MERRITT ISLAND, FL
NPI1366950636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  T460-164-97-841-0)
Enumeration Date2018-01-19
Last Update Date2018-01-19
Business Address
DOMINQUE DESAQUAN TAYLOR
1680 E CENTRAL AVE
MERRITT ISLAND, FL 32952-5675
Phone number: 904-333-3059
Mailing Address
DOMINQUE DESAQUAN TAYLOR
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number: 904-333-3059