Breanne Dominguez

NPI #1184280885 in Normal, Illinois

Provider Information

NPI Number: 1184280885
Entity Type: Individual
Name: Breanne Dominguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: May 17, 2019
Last Updated: Jul 29, 2020

Practice Location

Address: 1606 HUNT DR
City: Normal
State: Illinois
ZIP Code: 61761-2192
Phone: (309) 451-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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