Individual
ANGELINA DOMOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9355 E STOCKTON BLVD STE 100, ELK GROVE, CA 95624-9476
(916) 683-1109
Mailing address
360 UNION BLVD # 300, LAKEWOOD, CO 80228-1503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
08/05/2025
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