Provider Demographics
NPI:1477118727
Name:DOMINGUEZ, ALEJANDRA JOMAYRA (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ALEJANDRA
Middle Name:JOMAYRA
Last Name:DOMINGUEZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PRECISION # A100A300
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-5925
Mailing Address - Country:US
Mailing Address - Phone:512-354-4300
Mailing Address - Fax:
Practice Address - Street 1:120 PRECISION # A100A300
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-5925
Practice Address - Country:US
Practice Address - Phone:512-354-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty