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

Yanelys Dominguez Mediavilla

Individual provider Behavior Technician · NPI 1184403222

Yanelys Dominguez Mediavilla is a Behavior Technician in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

11401 SW 40th St
Miami, FL 33165-3372
Phone: (786) 580-4609
Fax: (786) 580-4771
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 23-297021 (FL)

Record details

NPI number1184403222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 27, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

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