Michael Philip Domenech
Michael Philip Domenech is a Behavior Technician in Marlborough, Massachusetts. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
225 Cedar Hill St Ste 200Marlborough, MA 01752-5900
Phone: (561) 307-8119
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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 | 1043824170 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 5, 2020 |
| Last updated in NPPES | September 5, 2020 |
| Certification date | September 2, 2020 |
| Mailing address | 401 Mount Vernon St Apt 623, Boston, MA 02125-3149 |
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