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

Carlos Rafael Dominguez

Individual provider Behavior Analyst · NPI 1689233751

Carlos Rafael Dominguez is a Behavior Analyst in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

12995 S Cleveland Ave
Fort Myers, FL 33907-3890
Phone: (305) 490-7178
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence MH11165 (FL)

Record details

NPI number1689233751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 11, 2019
Last updated in NPPESSeptember 6, 2019

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