Individual provider Active NPI

Sissi Brito Dominguez

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1720774110
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6190 W 19TH Ave Apt 110
Hialeah, FL 33012-6039
Phone
(786) 370-5108
NPI assigned
Apr 18, 2023
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 Primary

Addresses

Primary practice location

6190 W 19TH Ave Apt 110
Hialeah, FL 33012-6039

Mailing address

6190 W 19TH Ave Apt 110
Hialeah, FL 33012-6039

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL brito.sissi202@gmail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1720774110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 W 19TH AVE APT 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 W 19TH AVE APT 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126039",
            "telephone_number": "786-370-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITO DOMINGUEZ",
        "first_name": "SISSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brito.sissi202@gmail.com",
            "affiliation": "N",
            "address_1": "6190 W 19th Ave Apt 110",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330126039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.