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

Edna Dominique

Individual provider Behavior Technician · NPI 1740815489

Edna Dominique is a Behavior Technician in Lauderhill, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

4931 NW 85th Ter
Lauderhill, FL 33351-5454
Phone: (561) 843-9709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 17-43975 (FL)

Record details

NPI number1740815489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020
Mailing address4931 Nw 85th Ter, Lauderhill, FL 33351-5454

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