Dominguez, Ashleigh

Dominguez, Ashleigh is an individual health care provider with primary practice located at 109 Tweed St , Savannah GA 31405. 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, Ashleigh can be contacted via phone (516) 206-8900.

Contact Information

Primary practice address
109 Tweed St Savannah GA 31405
Fax:
Website:

Health care specialties

Profile Details

NPI number 1639540727
LBN Legal business name Dominguez, Ashleigh
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2015
Last updated Apr 13th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1639540727 NPPES
Florida MEDICAID 114226100

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