Diane Mera Dominguez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1224347 Issued in FL

Practice address

901 Locke St
Avon Park, FL 33825-4796

Phone

(863) 296-8495

NPI assigned

Aug 8, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1992680847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CANBERRA CIR APT 204",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253519",
            "telephone_number": "561-489-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LOCKE ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338254796",
            "telephone_number": "863-296-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERA DOMINGUEZ",
        "first_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1224347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Denise McHan, NP
• Tina McLean, PA-C
• Shavonna Tramaine McQueen
• Milette Medina
• Ginangeli Mendez Pagan
• Evans Salomon Mercier, M.D
• Luciana Michel, MD
• Millennium Physician Group, LLC
• Makinnsy Miller
• Deborah P. Milliken, D.M.D.

• Behavior Technician in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.