IndividualActive
Vivian Dominguez
NPI 1104337203 · Behavior Technician · Miami, FL
Provider details
- NPI number
- 1104337203
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RBT-20-117140 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4335 Nw South Tamiami Canal Dr Apt 102
Miami, FL 33126-1438
Phone: (786) 642-7601
Approximate (ZIP-level) locationGet directions
Mailing address
4335 Nw South Tamiami Canal Dr Apt 102
Miami, FL 33126-1438
Registry dates
- Enumerated
- 2017-10-16
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.