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Individual
MR. JOSE DOMINGUEZ
Active
Individual
MR. JOSE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR ANALYST
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-02-0445
FL
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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