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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLOS RAFAEL DOMINGUEZ

Active Sole Proprietor

CARLOS RAFAEL DOMINGUEZ is a Behavior Analyst healthcare provider located in FORT MYERS, Florida. NPI 1689233751 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · FORT MYERS, FL

Registration Details

NPI Number
1689233751
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2019 (7.1576390758102 yrs)
Last Updated
Sep 6, 2019
License
MH11165 (FL)
Sole Proprietor
Yes

Practice Information

Address
12995 S CLEVELAND AVE
FORT MYERS, FL, 339073890
Browse FL providers · Browse ZIP 33907
Phone
3054907178
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in FORT MYERS, FL

Name Credential NPI
DR. RENEE MARIE TERRASI PHD 1790971950
MS. LAUREN A LOVELL M.ED. 1982852133
MISS JAYLENE KAY DAGNAN M.S., BCBA 1245480573
KERI DAWN ROBISON BCABA 1013151240
LETITIA A MCINTOSH-REID MS, BCBA 1104060391
DR. LAURA P. O'SULLIVAN PH. D., BCBA-D 1942534631
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.