Individual
ALYSSA NICOLE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10462 SW 121ST ST, MIAMI, FL 33176-4752
(305) 204-7777
Mailing address
10462 SW 121ST ST, MIAMI, FL 33176-4752
(305) 204-7777
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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