Individual
ASHLEIGH DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
109 TWEED ST, SAVANNAH, GA 31405
(516) 206-8900
Mailing address
11605 ABERCORN ST STE 100, SAVANNAH, GA 31419-1903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114226100
—
FL
Enumeration date
10/14/2015
Last updated
04/13/2023
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