Individual provider · Type 1 NPI

Evelyn Gomez Dominguez

Behavior Technician · Bloomingdale, GA

NPI number 1295632594 Active

Practice location

217 Turpentine Trl
Bloomingdale, GA 31302-9606

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Assistant Behavior Analyst 106E00000XNone listed
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…

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About NPI 1295632594

Evelyn Gomez Dominguez's National Provider Identifier is 1295632594, issued on Oct 21, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Bloomingdale, GA. The record was last updated on Oct 21, 2026.