Dominguez, Ricky
Dominguez, Ricky is an sole proprietor health care provider with primary practice located at 5808 Willet Dr , Santa Teresa NM 88008-9521. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Dominguez, Ricky can be contacted via phone (915) 204-5625.Contact Information
Primary practice address
5808 Willet Dr
Santa Teresa NM 88008-9521
Phone: (915) 204-5625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1700179355 |
|---|---|
| LBN Legal business name | Dominguez, Ricky |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2011 |
| Last updated | May 16th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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