Domenica Fonseca

NPI #1154994580 in Greeley, Colorado

Provider Information

NPI Number: 1154994580
Entity Type: Individual
Name: Domenica Fonseca
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 22, 2021
Last Updated: Jul 22, 2021

Practice Location

Address: 1111 86TH AVE UNIT C204
City: Greeley
State: Colorado
ZIP Code: 80634-9091
Phone: (626) 456-2450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Assistant Behavior Analyst	106E00000X

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