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Individual
SIERRA DOMONIQUE PEREZ
Active
Individual
SIERRA DOMONIQUE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA ; LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2305692
OH
101YP2500X
Professional Counselor
Primary
C.2305692
OH
106S00000X
Behavior Technician
RBT-18-67117
—
390200000X
Student in an Organized Health Care Education/Training Program
C.2204305-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-67117
RBT CERTIFICATE
—
Enumeration date
04/08/2019
Last updated
05/04/2026
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