Individual
CHESY DOMINGUEZ VIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14713 SW 177TH TER, MIAMI, FL 33187-6762
(786) 318-4825
Mailing address
14713 SW 177TH TER, MIAMI, FL 33187-6762
(786) 318-4825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44005
FL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
0-17-8374
FL
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
05/23/2016
Last updated
12/05/2022
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