NPI 1013862507

Genesis Diaz Dominguez

Practitioner Behavior Analyst Lakewood, NJ

Practice location

Address: 850 Towbin Ave, Lakewood, NJ 08701-5928
Phone: (833) 599-2560

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence BH008281 (PA)

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Registry record

NPI: 1013862507
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2026
Record last updated: 2 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.