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Organization
DOMINGUEZ ACADEMY INC
Active
Organization
DOMINGUEZ ACADEMY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIET DOMINGUEZ GONZALEZ (PRESEIDENT)
(786) 371-5982
Entity
Organization
Contact information
Practice address
9507 SW 160TH ST STE 200, MIAMI, FL 33157-3372
(786) 371-5982
Mailing address
9507 SW 160TH ST STE 200, MIAMI, FL 33157-3372
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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