Active NPI
Niuvis Dominguez
- Behavior Technician
- Naples, FL
National Provider Identifier
1407539554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-289033
- Practice address
- 191 Quails Nest Rd
Naples, FL 34112-5187 - Phone
- (786) 307-6456
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- 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-23-289033 | FL | Primary |
Addresses
Primary practice location
191 Quails Nest Rd
Naples, FL 34112-5187
Mailing address
191 Quails Nest Rd
Naples, FL 34112-5187
Other practice location 1
2977 Goodlette-Frank Rd N
Naples, FL 34103-4612
Phone (239) 399-0921
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-23-289033 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1407539554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 QUAILS NEST RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341125187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 QUAILS NEST RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341125187",
"telephone_number": "786-307-6456"
}
],
"practiceLocations": [
{
"address_1": "2977 Goodlette-Frank Rd N",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341034612",
"country_code": "US",
"telephone_number": "239-399-0921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "NIUVIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-289033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.