Fonseca, Domenica

Fonseca, Domenica is an sole proprietor health care provider with primary practice located at 1111 86Th Ave Unit C204 , Greeley CO 80634-9091. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Fonseca, Domenica can be contacted via phone (626) 456-2450.

Contact Information

Primary practice address
1111 86Th Ave Unit C204 Greeley CO 80634-9091
Phone: (626) 456-2450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1154994580
LBN Legal business name Fonseca, Domenica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2021
Last updated Jul 22nd, 2021 - about 3 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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