Individual
RANDI DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 646-8000
Mailing address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 646-8000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
Primary
6810
CA
Other
Enumeration date
02/22/2021
Last updated
04/10/2026
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