Giese, Dominique

Giese, Dominique is an individual health care provider with primary practice located at 232 N Bruns Ln , Springfield IL 62702-4613. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Giese, Dominique can be contacted via phone (217) 793-2100.

Contact Information

Primary practice address
232 N Bruns Ln Springfield IL 62702-4613
Phone: (217) 793-2100
Fax: (850) 602-6932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X BACB-0-21-11871

Profile Details

NPI number 1497387807
LBN Legal business name Giese, Dominique
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2020
Last updated Jan 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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