Organization Active NPI

Dominguez Academy Inc

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1609586536
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DOMINGUEZ ACADEMY INC
Practice address
9507 SW 160TH St Ste 200
Miami, FL 33157-3372
Phone
(786) 371-5982
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Liliet Dominguez Gonzalez
Title
Preseident
Phone
(786) 371-5982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9507 SW 160TH St Ste 200
Miami, FL 33157-3372

Mailing address

9507 SW 160TH St Ste 200
Miami, FL 33157-3372

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1609586536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9507 SW 160TH ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 SW 160TH ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573372",
            "telephone_number": "786-371-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGUEZ ACADEMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ GONZALEZ",
        "authorized_official_first_name": "LILIET",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "786-371-5982"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.