Individual
GENESIS ANAHI DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RBT-24-365295
Contact information
Practice address
10789 BRADFORD RD STE 150, LITTLETON, CO 80127-6405
(720) 379-9171
Mailing address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-365295
CO
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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