Gino Dominguez
Gino Dominguez is a Behavior Technician in Wildomar, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
32326 Clinton Keith Rd Ste 201Wildomar, CA 92595-7317
Phone: (801) 935-4171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1588415707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2024 |
| Last updated in NPPES | March 27, 2024 |
| Certification date | March 27, 2024 |
| Mailing address | 32326 Clinton Keith Rd Ste 201, Wildomar, CA 92595-7317 |
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