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

Lis Lien Vizcaino Dominguez

Individual provider Behavior Technician · NPI 1124866009

Lis Lien Vizcaino Dominguez is a Behavior Technician in Saint Cloud, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

1513 Orange Ave
Saint Cloud, FL 34769-4740
Phone: (407) 748-8020
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 243600629 (FL)

Record details

NPI number1124866009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address1513 Orange Ave, Saint Cloud, FL 34769-4740

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