Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILL DOMINGUEZ
ActiveBehavior Technician · EAGLE, ID
Registration Details
- NPI Number
- 1700771631
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2025 (0.86111182738007 yrs)
- Last Updated
- Jun 11, 2025
- License
-
25-443590
Practice Information
- Address
-
738 S BRIDGEWAY PL STE 150EAGLE, ID, 836166953Browse ID providers · Browse ZIP 83616
- Phone
- 8883928642
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| ALYSSA GARCIA | — | 1609490655 |
| BREANNE TAYLOR | — | 1306417381 |
| MS. DESIREE ANN SELF | MS | 1528630357 |
| JAIME BETH SPENCE | — | 1376209668 |
| KAILA POMAIKA'I BOECK | — | 1528787967 |
| KIERSTEN CLUFF | — | 1821700451 |
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.