Kenya Lucero Dominguez

NPI #1528886892 in Glenview, Illinois

Provider Information

NPI Number: 1528886892
Entity Type: Individual
Name: Kenya Lucero Dominguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 26, 2024
Last Updated: Sep 26, 2024

Practice Location

Address: 1318 WAUKEGAN RD
City: Glenview
State: Illinois
ZIP Code: 60025-3022
Phone: (877) 486-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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