Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMANIC BRACK
Active Sole ProprietorBehavior Analyst · LAKELAND, FL
Registration Details
- NPI Number
- 1982399127
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2023 (3.0702554755968 yrs)
- Last Updated
- Oct 14, 2025
- License
-
1-25-84855 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2019 E EDGEWOOD DR.SUITE 130LAKELAND, FL, 33803Browse FL providers · Browse ZIP 33803
- Phone
- 9492351571
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| STACEY D SIMONDS | BCBA | 1467605949 |
| STACEY OSMON | BCBA | 1003048539 |
| MARIBEL CONN | — | 1225260359 |
| KEVIN SANGER | LSP, BCBA | 1154553287 |
| MRS. ANDREA L HOLLADAY | M.A., BCBA | 1598097040 |
| SHANITA ALLEN | MS, BCBA | 1255645917 |
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.