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

Jorge Miguel Dominguez Gonzalbo

Individual provider Behavior Technician · NPI 1184489544

Jorge Miguel Dominguez Gonzalbo is a Behavior Technician in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

3677 Central Ave Ste H
Fort Myers, FL 33901-8226
Phone: (239) 373-9186
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB963798 (FL)

Record details

NPI number1184489544
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 15, 2024
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

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