Individual provider Active NPI

Lorena Dominguez Lorenzo

  • Behavior Technician
  • Hallandale Beach, FL
National Provider Identifier
1396546016
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-420663 Issued in FL
Practice address
220 SW 9TH Ave Apt 103
Hallandale Beach, FL 33009-5205
Phone
(754) 239-0223
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 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 RBT-25-420663 FL Primary

Addresses

Primary practice location

220 SW 9TH Ave Apt 103
Hallandale Beach, FL 33009-5205

Mailing address

220 SW 9TH Ave Apt 103
Hallandale Beach, FL 33009-5205
Phone (754) 239-0223

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

LicenseStateTypeSpecialty
RBT-25-420663FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1396546016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 9TH AVE APT 103",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095205",
            "telephone_number": "754-239-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 9TH AVE APT 103",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095205",
            "telephone_number": "754-239-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ LORENZO",
        "first_name": "LORENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-420663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

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