Individual
ANGELICA NICOLE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5750 DIVISION ST STE 104, RIVERSIDE, CA 92506-3259
(951) 900-6390
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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