Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOMINICK ETHAN FARRIS
Active Sole ProprietorMR. DOMINICK ETHAN FARRIS is a Behavior Technician healthcare provider located in SANTA FE, New Mexico. NPI 1407517402 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · SANTA FE, NM
Registration Details
- NPI Number
- 1407517402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2022 (4.6125832313982 yrs)
- Last Updated
- Jan 3, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
4501 SAN IGNACIO APT E113SANTA FE, NM, 875074085Browse NM providers · Browse ZIP 87507
- Phone
- 5059467781
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| DANIELLE SWAN | — | 1669884342 |
| MARISOL MENDOZA | — | 1659772317 |
| BADI BRIGOLIN | — | 1194171793 |
| MR. MICHAEL A RODRIGUEZ | — | 1770032138 |
| MR. JAMES DUKE | — | 1407398019 |
| CHARLES JOHN | — | 1245772581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.