Individual
MARILENA MARIE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 NE WINFIELD AVE, TOPEKA, KS 66616-1531
(785) 250-5971
Mailing address
815 NE WINFIELD AVE, TOPEKA, KS 66616-1531
(785) 250-5971
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
K03578998
KS
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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