Individual
JAIMEE DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6897 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1640
(888) 505-1637
(888) 501-0472
Mailing address
6897 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1640
(888) 505-1637
(888) 501-0472
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-35191
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273092056
—
NV
Enumeration date
06/19/2017
Last updated
07/21/2022
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