Individual
ALESSANDRA DOMINGUEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13136 88TH PL N, WEST PALM BEACH, FL 33412-2627
(877) 857-8517
Mailing address
623 SEA PINE WAY APT B1, GREENACRES, FL 33415-8934
(561) 618-2464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-314274
FL
Other
Enumeration date
12/11/2023
Last updated
12/15/2023
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