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Dominique Pinchback

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

NPI number1629940697
StatusActive
Last updated in NPPESSep 19, 2025

Details

NPI
1629940697
Entity type
Individual (NPI-1)
Name
Dominique Pinchback
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 19, 2025
Certification date
Sep 19, 2025
Last updated
Sep 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MDYes

Practice location

4140 Dutch Mill Rd
Randallstown, MD 21133-4440

Phone 410-207-2653

Mailing address

4140 Dutch Mill Rd
Randallstown, MD 21133-4440

Phone 410-207-2653

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Other Behavior Technician providers in Randallstown, MD

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