Individual
DOMINICK ANTHONY MANUEL NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2918 W LAUREL LN, PHOENIX, AZ 85029-3307
(502) 731-9875
Mailing address
2918 W LAUREL LN, PHOENIX, AZ 85029-3307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB927073
AZ
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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