Individual
ALYSSA MERCEDES DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
750 NW 15TH ST, MIAMI, FL 33136-1431
(305) 325-1818
Mailing address
5131 SW 93RD CT, MIAMI, FL 33165-6516
(305) 878-0781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
07/21/2021
Last updated
05/31/2024
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