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

Mary Laura Leiva Dominguez

Individual provider Behavior Technician · NPI 1942076575

Mary Laura Leiva Dominguez is a Behavior Technician in Fort Myers, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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Practice location Address checks out

8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065
Phone: (800) 920-1927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17465 Butler Rd, Fort Myers, FL 33967-2955 — (239) 600-1037

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-311319 (FL)

Record details

NPI number1942076575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 27, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

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