Domunique Richardson-Bates
Behavior Technician in Bloomington, IN. Individual provider (NPI-1).
NPI number1124941968
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1124941968
- Entity type
- Individual (NPI-1)
- Name
- Domunique Richardson-Bates
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2026
- Certification date
- Jul 30, 2026
- Last updated
- Jul 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
443 S Landmark AveBloomington, IN 47403-5004
Phone 930-333-2312
Mailing address
443 S Landmark AveBloomington, IN 47403-5004
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