Dominic Christopher Gusman
Dominic Christopher Gusman is a Behavior Technician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2024.
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
4350 E Ray RdPhoenix, AZ 85044-4703
Phone: (602) 666-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence R37632148 (AZ) |
|---|
Record details
| NPI number | 1114744042 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 23, 2024 |
| Last updated in NPPES | September 23, 2024 |
| Certification date | September 23, 2024 |
| Mailing address | 996 Royal Marco Way, Marco Island, FL 34145-1829 |
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