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Dominic Paredes

Behavior Technician in North Port, FL. Individual provider (NPI-1).

NPI number1558085290
StatusActive
Last updated in NPPESSep 27, 2022

Details

NPI
1558085290
Entity type
Individual (NPI-1)
Name
Dominic Paredes
Sex
Male
Sole proprietor
No
Enumeration date
Sep 27, 2022
Certification date
Sep 27, 2022
Last updated
Sep 27, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-22-233837FLYes

Practice location

2574 Commerce Pkwy
North Port, FL 34289-9334

Phone 800-356-4049 · Fax 941-485-0519

Mailing address

Po Box 631278
Cincinnati, OH 45263-1278

Phone 800-356-4049 · Fax 941-485-0519

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in North Port, FL

All 388 Behavior Technician providers in North Port · All 1,104 providers in North Port

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