Individual provider Active NPI

Ariel Tapanes Dominguez

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1467805366
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5212 Lake Margaret Dr
Apt 1210
Orlando, FL 32812-6113
Phone
(786) 620-7367
NPI assigned
Jul 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X FL Primary

Addresses

Primary practice location

5212 Lake Margaret Dr
Apt 1210
Orlando, FL 32812-6113

Mailing address

408 Stewart Park LN
Deland, FL 32724-7729
Phone (786) 620-7367

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

Practice roles

OrganizationSpecialtyStatusNew patients
Early Wings LLC Behavior Analyst CurrentSince Nov 17, 2024 Accepting new patients
Bass Partners LLC Behavior Analyst Past Accepting new patients
Behavior Analysis Support Services, Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1467805366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 STEWART PARK LN",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247729",
            "telephone_number": "786-620-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 LAKE MARGARET DR",
            "address_2": "APT 1210",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328126113",
            "telephone_number": "786-620-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPANES DOMINGUEZ",
        "first_name": "ARIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.