Individual
KALI DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 NE SNOHOMISH AVE UNIT 724, WHITE SALMON, WA 98672-0160
(509) 396-6592
Mailing address
PO BOX 724, WHITE SALMON, WA 98672-0724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
CB60845311
WA
Other
Enumeration date
05/22/2019
Last updated
04/16/2023
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