Dominguez, Stacy

Dominguez, Stacy is an sole proprietor health care provider with primary practice located at 725 S Mesa Hills Dr , El Paso TX 79912-5568. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Dominguez, Stacy can be contacted via phone (915) 760-4147.

Contact Information

Primary practice address
725 S Mesa Hills Dr El Paso TX 79912-5568
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BCBA: 1-13-12777 Texas

Profile Details

NPI number 1407191919
LBN Legal business name Dominguez, Stacy
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2012
Last updated Mar 6th, 2013 - about 13 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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