Domenica Fonseca
Behavior Technician Assistant Behavior Analyst
1111 86th Ave Unit C204
Greeley
, Colorado 80634-9091
Domenica Fonseca
Behavior Technician Assistant Behavior Analyst
1111 86th Ave Unit C204
Greeley
, Colorado 80634-9091
(626) 456-2450
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About
Features
Specialties
- Assistant Behavior Analyst
- Behavior Technician
Languages spoken
- English
Location
First Address
- Domenica Fonseca
- 172 W Redwood Ct
- Covina, CA
- Zip : 91723-2679
- Phone : (626) 456-2450
Second Address
- Domenica Fonseca
- 1111 86th Ave Unit C204
- Greeley, CO
- Zip : 80634-9091
- Phone : (626) 456-2450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | ||
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1154994580 |
|---|---|
| Provider Name | Domenica Fonseca |
| First Address | Covina, CA 91723-2679 |
| Second Address | Greeley, CO 80634-9091 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2021 |
| Last Update Date | 22/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.