MR. Samuel Austin Dominguez, BA

NPI #1679114482 in Moorpark, California

Provider Information

NPI Number: 1679114482
Entity Type: Individual
Name: MR. Samuel Austin Dominguez, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BA
Enumeration Date: Oct 2, 2019
Last Updated: Oct 2, 2019

Practice Location

Address: 11359 MAPLERIDGE CT
City: Moorpark
State: California
ZIP Code: 93021-3707
Phone: (805) 750-0229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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