Individual
CARLOS VALENCIA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3215 W RAY RD, CHANDLER, AZ 85226-2425
(602) 421-0824
Mailing address
3215 W RAY RD, CHANDLER, AZ 85226-2425
(602) 421-0824
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
06/22/2023
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