Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ciclady Dominguez

Individual provider Behavior Technician · NPI 1558044735

Ciclady Dominguez is a Behavior Technician in Santa Rosa, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

509 Laurel Grove Cir
Santa Rosa, CA 95407-5493
Phone: (707) 321-6531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Behavior Technician Taxonomy 106S00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1558044735
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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