Individual
ALEXANDER DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
7612 HERRICKS LOOP, ORLANDO, FL 32835-1094
(407) 504-0660
Mailing address
7612 HERRICKS LOOP, ORLANDO, FL 32835-1094
(786) 261-6810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62715
FL
Other
Enumeration date
12/30/2016
Last updated
03/10/2025
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