Provider Demographics
NPI:1316646268
Name:MORALES, DOMINIC ISAIAH (BA)
Entity type:Individual
Prefix:MR
First Name:DOMINIC
Middle Name:ISAIAH
Last Name:MORALES
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1328 GARNER AVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93905-1814
Mailing Address - Country:US
Mailing Address - Phone:619-705-8292
Mailing Address - Fax:
Practice Address - Street 1:1328 GARNER AVE
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-1814
Practice Address - Country:US
Practice Address - Phone:619-705-8292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst