Imarys Dominguez Barreras
Behavior Technician in Lehigh Acres, FL. Individual provider (NPI-1).
NPI number1760169445
StatusActive
Last updated in NPPESJul 3, 2023
Details
- NPI
- 1760169445
- Entity type
- Individual (NPI-1)
- Name
- Imarys Dominguez Barreras
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2023
- Certification date
- Jul 3, 2023
- Last updated
- Jul 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-267308 | FL | Yes |
Practice location
5000 Lee Cir SLehigh Acres, FL 33971-1035
Phone 239-478-9900
Mailing address
5000 Lee Cir SLehigh Acres, FL 33971-1035
Phone 239-478-9900
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