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Alyssa Mercedes Dominguez, BCBA

Developmental Therapist in Miami, FL. Individual provider (NPI-1).

NPI number1003489691
StatusActive
Last updated in NPPESMay 31, 2024

Details

NPI
1003489691
Entity type
Individual (NPI-1)
Name
Alyssa Mercedes Dominguez
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 21, 2021
Certification date
May 31, 2024
Last updated
May 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist–FLYes
103K00000X Behavior Analyst––

Practice location

750 Nw 15th St
Miami, FL 33136-1431

Phone 305-325-1818

Mailing address

5131 Sw 93rd Ct
Miami, FL 33165-6516

Phone 305-878-0781

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