Active NPI
Melani De la Caridad Perez Dominguez, RBT-22-243134
- Behavior Technician
- Fort Myers, FL
National Provider Identifier
1518675685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-243134
- Practice address
- 1500 Colonial Blvd Ste 102
Fort Myers, FL 33907-1025 - Phone
- (239) 294-0901
- NPI assigned
- Nov 8, 2022
- 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-22-243134 | FL | Primary |
Addresses
Primary practice location
1500 Colonial Blvd Ste 102
Fort Myers, FL 33907-1025
Mailing address
2312 Kismet Pkwy E
Cape Coral, FL 33909-4716
Phone (239) 878-9384
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-22-243134 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1518675685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 KISMET PKWY E",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339094716",
"telephone_number": "239-878-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 COLONIAL BLVD STE 102",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071025",
"telephone_number": "239-294-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ DOMINGUEZ",
"first_name": "MELANI",
"middle_name": "DE LA CARIDAD",
"credential": "RBT-22-243134",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-243134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.