Individual
AMANDA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12493 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5693
(239) 600-1877
Mailing address
12493 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5693
(239) 268-8707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69882
FL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
0-21-13138
FL
106S00000X
Behavior Technician
17-46880
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/17/2017
Last updated
07/31/2024
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