Daniel Dominguez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-100304 Issued in FL

Practice address

14713 SW 177TH Ter
Miami, FL 33187-6762

Phone

(786) 343-8519

NPI assigned

Oct 6, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DD Behavioral Services LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1245945385
  NPD Authorized official

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1548801079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14713 SW 177TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876762",
            "telephone_number": "786-343-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14713 SW 177TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876762",
            "telephone_number": "786-343-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-06",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-100304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D552-160-96-445-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Dominguez, LMHC
• Barbara Dominguez
• Beatriz Lopez Dominguez, LMHC
• Christian Santy Dominguez, LMT
• Claudia Dominguez
• Daniel Carlos Dominguez, MD
• Daniela Dominguez
• Dayana Dominguez, BCBA
• Denisse Dominguez
• Doris Maria Dominguez, MSW LCSW

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.