Alyssa Mercedes Dominguez, BCBA

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

750 NW 15TH St
Miami, FL 33136-1431

Phone

(305) 325-1818

NPI assigned

Jul 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Freshstarts Behavioral Therapy LLC

  • Early Intervention Provider Agency
  • Miami, FL
  • NPI 1386905842
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1003489691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 SW 93RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656516",
            "telephone_number": "305-878-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NW 15TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361431",
            "telephone_number": "305-325-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ALYSSA",
        "middle_name": "MERCEDES",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesy Dominguez Viera
• Mayra Dominguez-Burns, MD
• Gabriel Dominguez-Pereira, PHD, LMHC, CAADC
• Alejandro Dominguez
• Alexis Dominguez, M.D.
• Alyssa Nicole Dominguez
• Amanda Nicole Dominguez
• Ana I Dominguez, DMD
• Ana Maria Dominguez, APRN
• Anabel Dominguez

• Developmental Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.