Individual
AIME DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5320 CANNON WAY, WEST PALM BEACH, FL 33415-3753
(561) 619-0700
Mailing address
5320 CANNON WAY, WEST PALM BEACH, FL 33415-3753
(561) 619-0700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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