DOMONIQUE CHONG PANGELINAN
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1356194104- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1087 E PARK BLVD, BOISE, ID, 83712
- Phone
- (208) 972-5254
Specialties & Taxonomies
Behavior Technician
Primary