AMANDA DOMINGUEZ (NPI# 1184135139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184135139 |
| Entity Type | Individual |
| Full Name | AMANDA DOMINGUEZ |
| Practice Address |
10300 Sw 72nd St Ste 114 Miami FL 33173-3038 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Beach FL 33441-1817 |
| Practice Telephone | 3055085580 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 17-46880 | FL | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265059307 | Amanda Antoinette Dominguez | Physician Assistant | 1240 S Westlake Blvd Ste 205, Westlake Village, CA 91361-1992 | 2020-07-05 |
| 1174032205 | Amanda Dominguez | Community Health Worker | 4560 S Eastern Ave Ste 15, Las Vegas, NV 89119-6182 | 2017-09-20 |
| 1396108338 | Amanda Dominguez | Occupational Therapist | 1635 Ohio St, Watertown, NY 13601-3032 | 2016-03-29 |
| 1023419785 | Amanda Sims Dominguez | Pharmacist | 4974 Highway 3276 Ste B, Stonewall, LA 71078-9335 | 2014-09-11 |
| Street Address |
10300 SW 72ND ST STE 114 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194010140 | Melissa Cherie Castro | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173 | 2011-06-16 |
| 1063031029 | Fatima Carmen Diaz | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2020-04-10 |
| 1205472560 | Fanny Shuster | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2019-11-21 |
| 1710538038 | Deborah Santiago Rodriguez | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2019-09-27 |
| 1114577228 | Juliana Sofia Viciana | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2019-09-19 |
| 1376197939 | Michelle Penaloza | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2019-07-31 |
| 1871153395 | Julio Cesar Acosta | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2019-06-17 |
| 1487212379 | Alejandro Espinosa | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2019-06-05 |
| 1104483130 | Dianne Dhaiti | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2019-05-24 |
| 1831756345 | Cayman Battle | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447099 | Allan Ramirez | Behavior Technician | 13805 Sw 26th Ter, Miami, FL 33175-6575 | 2020-11-08 |
| 1750982518 | Jesus M Perez | Behavior Technician | 117 Nw 42nd Ave Apt 812, Miami, FL 33126-5430 | 2020-11-06 |
| 1841891850 | Gicle Gonzalez | Behavior Technician | 10940 Sw 38th St, Miami, FL 33165-4442 | 2020-11-05 |
| 1821699711 | Ariadna Gonzalez Forte | Behavior Technician | 400 Sw 2nd St Apt 104, Miami, FL 33130-1496 | 2020-11-05 |
| 1215538335 | Wendy Sanjurjo Del Hierro I | Behavior Technician | 15336 Sunset Dr, Apt 1011, Miami, FL 33193 | 2020-11-04 |
| 1457952749 | Greta Martinez | Behavior Technician | 11751 Sw 180th St, Miami, FL 33177-2410 | 2020-11-04 |
| 1124629217 | Mari Araoz Canedo | Behavior Technician | 3606 Nw 5th Ave Apt 508, Miami, FL 33127-3167 | 2020-11-04 |
| 1750982831 | Mailyn Padin Gomez | Behavior Technician | 510 Nw 114th Ave Apt 102, Miami, FL 33172-4737 | 2020-11-04 |
| 1104427384 | Yudnielis Rodriguez | Behavior Technician | 20105 Sw 122nd Ave Apt 105, Miami, FL 33177-5277 | 2020-11-04 |
| 1336740711 | Yisel Marquez Fernandez | Behavior Technician | 11419 Sw 5th St, Miami, FL 33174-1050 | 2020-11-03 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.