Benavidez, Dominique

Benavidez, Dominique is an sole proprietor health care provider with primary practice located at 335 Redondo Ave , Long Beach CA 90814. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is her primary health care specialty. Benavidez, Dominique can be contacted via phone (562) 434-3030.

Contact Information

Primary practice address
335 Redondo Ave Long Beach CA 90814
Phone: (562) 434-3030
Fax: (562) 434-3212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 22620 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 22620 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 22620 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 22620 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X RPS2005098 California

Profile Details

NPI number 1740309525
LBN Legal business name Benavidez, Dominique
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jun 27th, 2018 - about 8 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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