Active NPI
Rayner Domingues
- Behavior Technician
- Miami Gardens, FL
National Provider Identifier
1376104091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-69190
- Practice address
- 18420 NW 22ND Ave
Miami Gardens, FL 33056-3202 - Phone
- (201) 647-9678
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-69190 | FL | Primary |
Addresses
Primary practice location
18420 NW 22ND Ave
Miami Gardens, FL 33056-3202
Mailing address
18420 NW 22ND Ave
Miami Gardens, FL 33056-3202
Phone (201) 647-9678
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-69190 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1376104091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18420 NW 22ND AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563202",
"telephone_number": "201-647-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18420 NW 22ND AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563202",
"telephone_number": "201-647-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUES",
"first_name": "RAYNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-69190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.