Individual provider Active NPI

Liusdany Dominguez

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1841946332
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-192586 Issued in FL
Practice address
1642 SE 16TH Ave
Homestead, FL 33035-2201
Phone
(786) 691-6063
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 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-21-192586 FL Primary

Addresses

Primary practice location

1642 SE 16TH Ave
Homestead, FL 33035-2201

Mailing address

1642 SE 16TH Ave
Homestead, FL 33035-2201
Phone (786) 691-6063

Other practice location 1

4160 W 16th Ave Ste 502
Hialeah, FL 33012-5884
Phone (786) 401-7531

Other practice location 2

12966 SW 133rd Ct
Miami, FL 33186-6173
Phone (305) 255-6203

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-21-192586FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Nory'S Home Services, Inc. Behavior Technician CurrentSince Sep 29, 2024 Accepting new patients
Better 4 Youth Behavioral Care LLC Behavior Technician CurrentSince Nov 20, 2022 Accepting new patients
Darias Behavioral Services, Inc Past Accepting new patients
Crystal Minds Psychological Services PastSince Feb 1, 2022 Accepting new patients

Locations

12966 SW 133rd Ct
Miami, FL 33186
Phone (305) 255-6203

Organizations & group practices 4

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1841946332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 SE 16TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352201",
            "telephone_number": "786-691-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 SE 16TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352201",
            "telephone_number": "786-691-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 W 16th Ave Ste 502",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125884",
            "country_code": "US",
            "telephone_number": "786-401-7531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12966 SW 133rd Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331866173",
            "country_code": "US",
            "telephone_number": "305-255-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "LIUSDANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-192586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.