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1407191919
STACY DOMINGUEZ
EL PASO, TX
NPI
1407191919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX BCBA: 1-13-12777)
Enumeration Date
2012-12-10
Last Update Date
2013-03-06
Business Address
-- STACY DOMINGUEZ BCBA
725 S MESA HILLS DR
EL PASO, TX 79912-5568
Phone number: 915-760-4147
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Mailing Address
-- STACY DOMINGUEZ BCBA
3731 6TH AVE STE 100
SAN DIEGO, CA 92103-4383
Phone number: 619-278-0884
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