Individual provider Active NPI

Iliadys Maria Sierra Dominguez, RBT

  • Behavior Technician
  • West Palm Beach, FL
National Provider Identifier
1649089350
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-399678 Issued in FL
Practice address
7711 N Military TRL Ste 1008
West Palm Beach, FL 33410-6506
Phone
(561) 480-1075
Fax
(561) 584-5836
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-399678 FL Primary

Addresses

Primary practice location

7711 N Military TRL Ste 1008
West Palm Beach, FL 33410-6506

Mailing address

1905 S Florida Mango Rd
West Palm Beach, FL 33406-6737
Phone (561) 729-5780

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

LicenseStateTypeSpecialty
RBT-24-399678FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Effects Inc. CurrentSince Jan 12, 2025 Accepting new patients

Locations

7711 N Military Trl
Ste 1008
West Palm Beach, FL 33410
Phone (561) 480-1075

Organizations & group practices 1

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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1649089350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 S FLORIDA MANGO RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066737",
            "telephone_number": "561-729-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 N MILITARY TRL STE 1008",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106506",
            "telephone_number": "561-480-1075",
            "fax_number": "561-584-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA DOMINGUEZ",
        "first_name": "ILIADYS",
        "middle_name": "MARIA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-399678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.