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

Domanic Brack

Individual provider Behavior Analyst · NPI 1982399127

Domanic Brack is a Behavior Analyst in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

2019 E Edgewood Dr Ste 130
Lakeland, FL 33803
Phone: (949) 235-1571
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-25-84855 (FL)

Record details

NPI number1982399127
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 5, 2023
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address5847 Marsh Landing Dr, Winter Haven, FL 33881-7234

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