Dominguez, Johnny Gabriel

Dominguez, Johnny Gabriel is an sole proprietor health care provider with primary practice located at 12125 Day St Ste E301 , Moreno Valley CA 92557-6704. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Dominguez, Johnny Gabriel can be contacted via phone (951) 344-2166.

Contact Information

Primary practice address
12125 Day St Ste E301 Moreno Valley CA 92557-6704
Phone: (951) 344-2166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-107375 California

Profile Details

NPI number 1124668843
LBN Legal business name Dominguez, Johnny Gabriel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2020
Last updated Jan 28th, 2020 - about 5 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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