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

Justin Dominguez

Individual provider Behavior Technician · NPI 1669290029

Justin Dominguez is a Behavior Technician in Beverly, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

906 Manor Rd
Beverly, MA 01915-6205
Phone: (978) 896-8974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MA)

Record details

NPI number1669290029
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address906 Manor Rd, Beverly, MA 01915-6205

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