Individual
AIMEE VEGA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 W 44TH PL APT 103, HIALEAH, FL 33012-8412
(786) 454-6627
Mailing address
1975 W 44TH PL APT 103, HIALEAH, FL 33012-8412
(786) 454-6627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-98041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104436400
—
FL
Enumeration date
12/13/2019
Last updated
02/09/2022
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