CARLOS RAFAEL DOMINGUEZ

FORT MYERS, FL
NPI1689233751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: FL  MH11165)
Enumeration Date2019-06-11
Last Update Date2019-09-06
Business Address
CARLOS RAFAEL DOMINGUEZ
12995 S CLEVELAND AVE
FORT MYERS, FL 33907-3890
Phone number: 305-490-7178
Mailing Address
CARLOS RAFAEL DOMINGUEZ
12995 S CLEVELAND AVE STE 216
FORT MYERS, FL 33907-3807
Phone number: 305-490-7178