Individual
CARLOS MIGUEL DOMENECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14385 SW 45TH TER, MIAMI, FL 33175-6844
(786) 310-9482
Mailing address
14385 SW 45TH TER, MIAMI, FL 33175-6844
(786) 310-9482
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D552-113-06-424-0
FL
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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