Individual provider Active NPI

Nora Dominguez Rodriguez

  • Behavior Technician
  • Brandon, FL
National Provider Identifier
1003502170
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
792 W Lumsden Rd # 105
Brandon, FL 33511-6260
Phone
(813) 324-7538
Fax
(813) 324-7538
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Primary

Addresses

Primary practice location

792 W Lumsden Rd # 105
Brandon, FL 33511-6260

Mailing address

792 W Lumsden Rd Ste 105
Brandon, FL 33511-6260
Phone (813) 324-7538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1003502170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 W LUMSDEN RD STE 105",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116260",
            "telephone_number": "813-324-7538",
            "fax_number": "813-324-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 W LUMSDEN RD # 105",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116260",
            "telephone_number": "813-324-7538",
            "fax_number": "813-324-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ RODRIGUEZ",
        "first_name": "NORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.