Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Dominique

Individual provider Behavior Analyst · NPI 1558070250

Amy Dominique is a Behavior Analyst in Deerfield Beach, Florida. Licensed in Louisiana. Registered with an NPI since 2022.

Licensed in
LA
In the registry since
2022

Practice location Address checks out

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone: (877) 418-2976
Fax: (866) 500-2186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (LA)

Record details

NPI number1558070250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022
Mailing address24252 Conservation Way Ave, Ponchatoula, LA 70454-4249

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