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Domonique Powell

Behavior Technician in Gaithersburg, MD. Individual provider (NPI-1).

NPI number1124992425
StatusActive
Last updated in NPPESOct 1, 2025

Details

NPI
1124992425
Entity type
Individual (NPI-1)
Name
Domonique Powell
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2025
Certification date
Oct 1, 2025
Last updated
Oct 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789

Phone 410-609-6357

Mailing address

3600 Route 66 Ste 150
Neptune, NJ 07753-2645

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