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

Melissa Amanda Lara Dominguez

Individual provider Behavior Technician · NPI 1881410637

Melissa Amanda Lara Dominguez is a Behavior Technician in Hialeah, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

10909 W Okeechobee Rd Unit 201
Hialeah, FL 33018-8105
Phone: (786) 718-2893
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 24-395622 (FL)

Record details

NPI number1881410637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 26, 2024
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

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