JOHNNY GABRIEL DOMINGUEZ

MORENO VALLEY, CA
NPI1124668843
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  RBT-19-107375)
Enumeration Date2020-01-10
Last Update Date2020-01-28
Business Address
JOHNNY GABRIEL DOMINGUEZ
12125 DAY ST STE E301
MORENO VALLEY, CA 92557-6704
Phone number: 951-344-2166
Mailing Address
JOHNNY GABRIEL DOMINGUEZ
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345