Individual provider · Type 1 NPI

Dominique Vidigal Santa Cruz

Behavior Technician · Loma Rica, CA

NPI number 1255200762 Active

Practice location

12310 Brandie Dr
Loma Rica, CA 95901-9594

Mailing address

1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

About NPI 1255200762

Dominique Vidigal Santa Cruz's National Provider Identifier is 1255200762, issued on Nov 3, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Loma Rica, CA. The record was last updated on Nov 3, 2025.