Genesis Diaz Dominguez
Genesis Diaz Dominguez is a Behavior Analyst in Lakewood, New Jersey. Licensed in Pennsylvania. Registered with an NPI since 2026.
- Licensed in
- PA
- In the registry since
- 2026
Practice location Address checks out
850 Towbin AveLakewood, NJ 08701-5928
Phone: (833) 599-2560
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence BH008281 (PA) |
|---|
Record details
| NPI number | 1013862507 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 2, 2026 |
| Last updated in NPPES | March 2, 2026 |
| Certification date | March 2, 2026 |
| Mailing address | 850 Towbin Ave, Lakewood, NJ 08701-5928 |
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