Omar Dominguez

NPI #1790653459 in Danvers, Massachusetts

Provider Information

NPI Number: 1790653459
Entity Type: Individual
Name: Omar Dominguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 24, 2025
Last Updated: Oct 24, 2025

Practice Location

Address: 100 NEWBURY ST STE B
City: Danvers
State: Massachusetts
ZIP Code: 01923-1042
Phone: (800) 778-5560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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