Individual
ADELAIDA BEATRIZ GARCIA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 VENTURES DR APT 1411, SAINT AUGUSTINE, FL 32095-0180
(305) 283-6728
Mailing address
100 VENTURES DR APT 1411, SAINT AUGUSTINE, FL 32095-0180
(305) 283-6728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
24-332079
CO
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
01/25/2025
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