IndividualActive
Adelaida Garcia Dominguez
NPI 1013766781 · Behavior Technician · Saint Augustine, FL
Provider details
- NPI number
- 1013766781
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 24-332079 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
100 Ventures Dr Apt 1411
Saint Augustine, FL 32095-0180
Phone: (305) 283-6728
Approximate (ZIP-level) locationGet directions
Mailing address
100 Ventures Dr Apt 1411
Saint Augustine, FL 32095-0180
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2025-01-25
- Certified
- 2025-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.