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

Dominique Brailsford

Individual provider Behavior Technician · NPI 1588126494

Dominique Brailsford is a Behavior Technician in North Port, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2574 Commerce Pkwy
North Port, FL 34289-9334
Phone: (800) 356-4049
Fax: (941) 485-0519
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-20-132624 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1588126494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2019
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022

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