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Individual

MARQUICIA DOMINGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, BCBA, LBA

Contact information

Practice address
3811A 12TH AVE W, SEATTLE, WA 98119-1307
(360) 434-3951
Mailing address
3811A 12TH AVE W, SEATTLE, WA 98119-1307
(360) 434-3951

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61092063
WA

Other

Enumeration date
08/17/2020
Last updated
08/17/2020
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