Provider Demographics
NPI:1659981157
Name:DOMINION PRECISION TEACHING AND CONSULTING
Entity Type:Organization
Organization Name:DOMINION PRECISION TEACHING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:434-391-4573
Mailing Address - Street 1:6235 W JAMES ANDERSON HWY
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:VA
Mailing Address - Zip Code:24553-3520
Mailing Address - Country:US
Mailing Address - Phone:434-391-4573
Mailing Address - Fax:
Practice Address - Street 1:6235 W JAMES ANDERSON HWY
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:VA
Practice Address - Zip Code:24553-3520
Practice Address - Country:US
Practice Address - Phone:434-391-4573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-09
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health