Most Relevant Information
Provider Data
| NPI Number: | 1003695081 |
| Provider Name: | LIZBETH DOMINGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/27/2023 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
463 7TH AVE # 18TH
NEW YORK
NY
100187604
Practice Location Phone/Fax
| Phone: | 2125829100 |
| Fax: |
Provider Mailing Location
2479 UNIVERSITY AVE APT BSMNT
BRONX
NY
104685642
Provider Mailing Phone/Fax
| Phone: | 3476524065 |
| Fax: |