Individual provider · Type 1 NPI
Ciclady Dominguez
Day Training/Habilitation Specialist · Santa Rosa, CA
NPI number
1558044735
Active
Practice location
509 Laurel Grove Cir
Santa Rosa, CA 95407-5493
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Day Training/Habilitation Specialist Primary | 373H00000X | None listed |
Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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About NPI 1558044735
Ciclady Dominguez's National Provider Identifier is 1558044735, issued on Aug 14, 2023. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 7, 2025.