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

Dominique Lopez

Individual provider Behavior Technician · NPI 1104329390

Dominique Lopez is a Behavior Technician in Miami, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (786) 537-7650
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1104329390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2018
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

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