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Individual

ALAN DANIEL DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14148 MAGNOLIA BLVD STE 103, SHERMAN OAKS, CA 91423-6414
(657) 444-9002
Mailing address
14148 MAGNOLIA BLVD STE 103, SHERMAN OAKS, CA 91423-6414

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA

Other

Enumeration date
02/17/2026
Last updated
02/17/2026
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