SHAPING CHANGE, LLC
Behavior Analysts at Weston Rd, Fort Lauderdale, FL

License number
Florida OT17399
Category
Restorative Service Providers
Type
Occupational Therapist
License number
Florida 1-11-8594
Category
Behavior Analysts
Type
Behavior Analyst
License number
Florida 1-16-21678
Category
Behavior Analysts
Type
Behavior Analyst
Owner
Name: JANESSA DOMINGUEZ M.S., BCBA
Title: PRESIDENT/CLINICAL DIRECTOR
Phone: (954) 589-1038
Address
Address
2800 Weston Rd SUITE 100, Fort Lauderdale, FL 33331
National Provider ID: 1629327390
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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