Individual
NATHALIA ALCANTARA DOMINGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 MARION PEPE DR APT C, LODI, NJ 07644-7834
(973) 626-8817
Mailing address
82 MARION PEPE DR APT C, LODI, NJ 07644-7834
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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