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

Mr. Dominick Ethan Farris

Individual provider Behavior Technician · NPI 1407517402

Mr. Dominick Ethan Farris is a Behavior Technician in Santa Fe, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2022

Practice location Address checks out

4501 San Ignacio Apt E113
Santa Fe, NM 87507-4085
Phone: (505) 946-7781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NM)

Record details

NPI number1407517402
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 3, 2022
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022
Mailing address4501 San Ignacio Apt E113, Santa Fe, NM 87507-4085

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