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Dominique Sharmaine Lucero

Behavior Technician in Los Lunas, NM. Individual provider (NPI-1).

NPI number1194536722
StatusActive
Last updated in NPPESJan 14, 2025

Details

NPI
1194536722
Entity type
Individual (NPI-1)
Name
Dominique Sharmaine Lucero
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 14, 2025
Certification date
Jan 14, 2025
Last updated
Jan 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Other names

  • Dominique Sharmaine Sanders (Other Name)

Practice location

2151 Blaylock Ln Ne
Los Lunas, NM 87031-9329

Phone 505-448-2249

Mailing address

2151 Blaylock Ln Ne
Los Lunas, NM 87031-9329

Phone 505-448-2249

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Other Behavior Technician providers in Los Lunas, NM

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