Individual
EVELYN ESTEFANY AVALOS DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1483 ALVA ST, CARPINTERIA, CA 93013-1501
(818) 345-2345
Mailing address
1483 ALVA ST, CARPINTERIA, CA 93013-1501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
07/06/2026
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