Individual provider Active NPI

Carlos Miguel Domenech

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1063343424
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
D552-113-06-424-0 Issued in FL
Practice address
14385 SW 45TH Ter
Miami, FL 33175-6844
Phone
(786) 310-9482
NPI assigned
May 26, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X D552-113-06-424-0 FL Primary

Addresses

Primary practice location

14385 SW 45TH Ter
Miami, FL 33175-6844

Mailing address

14385 SW 45TH Ter
Miami, FL 33175-6844
Phone (786) 310-9482

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": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1063343424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14385 SW 45TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756844",
            "telephone_number": "786-310-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14385 SW 45TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756844",
            "telephone_number": "786-310-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENECH",
        "first_name": "CARLOS",
        "middle_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "D552-113-06-424-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.