Amanda Dominguez
Amanda Dominguez is a Behavior Analyst in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2017.
- Licensed in
- FL
- In the registry since
- 2017
- Specialties on file
- 5
Practice location Address checks out
12493 Brantley Commons CtFort Myers, FL 33907-5693
Phone: (239) 600-1877
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-23-69882 (FL) |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X |
| Assistant Behavior Analyst | Taxonomy 106E00000X · Licence 0-21-13138 (FL) |
| Behavior Technician | Taxonomy 106S00000X · Licence 17-46880 (FL) |
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1184135139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 17, 2017 |
| Last updated in NPPES | July 31, 2024 |
| Certification date | December 6, 2023 |
| Mailing address | 12493 Brantley Commons Ct, Fort Myers, FL 33907-5693 |
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