| NPI | 1184135139 |
|---|---|
| Former Name | AMANDA DOMINGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69882) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 106S00000X Behavior Technician (Licence: FL 17-46880) | |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13138) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2026-09-14 |