Ivan Bermeosolo Dominguez
Ivan Bermeosolo Dominguez is a Behavior Technician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2023.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
15045 SW 127th CtMiami, FL 33186-6322
Phone: (786) 273-2563
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-23-311035 (FL) |
|---|
Record details
| NPI number | 1093581753 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 4, 2023 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 3, 2023 |
| Mailing address | 15045 Sw 127th Ct, Miami, FL 33186-6322 |
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