DOMINIQUE WILSON
NPI 1750867511
Developmental Therapist in Atlanta, GA

Active since July 16, 2018
1017 FAYETTEVILLE RD SE # B, ATLANTA, GA 30316(404) 486-9034 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE WILSON (NPI 1750867511) is an individual developmental therapist in Atlanta, Georgia and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1750867511
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameDOMINIQUE WILSON
Location Address1017 FAYETTEVILLE RD SE # BAtlanta, GA 30316-2932
Mailing Address1017 Fayetteville Rd Se # BAtlanta, GA 30316-2932
Sole ProprietorNo
Enumeration DateJuly 16, 2018
NPI 1750867511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
1017 FAYETTEVILLE RD SE # B, Atlanta, GA 30316

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1017 FAYETTEVILLE RD SE # B
ATLANTA, GA 30316
Counselor (Mental Health)
1017 FAYETTEVILLE RD SE # B
ATLANTA, GA 30316
Counselor (Mental Health)
1017 FAYETTEVILLE RD SE # B
ATLANTA, GA 30316
Counselor (Professional)
1017 FAYETTEVILLE RD SE # B
ATLANTA, GA 30316
Social Worker
1017 FAYETTEVILLE RD SE # B
ATLANTA, GA 30316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Wilson's NPI number?

The NPI number for Dominique Wilson is 1750867511. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Dominique Wilson located?

Dominique Wilson practices at 1017 Fayetteville Rd SE # B, Atlanta, GA 30316. The listed phone number is (404) 486-9034.

What is Dominique Wilson's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Dominique Wilson was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.