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Individual

JACOB ANTHONY DOMINGUEZ-GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1565 N MAIN ST STE 205, FALL RIVER, MA 02720-2972
(987) 248-8938
Mailing address
1565 N MAIN ST STE 205, FALL RIVER, MA 02720-2972
(508) 324-0328

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MA
172V00000X
Community Health Worker
Primary
MA

Other

Enumeration date
02/09/2022
Last updated
04/28/2026
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