IndividualActive
Domanic Brack
NPI 1982399127 · Behavior Analyst · Lakeland, FL
Domanic Brack is a Behavior Analyst provider in Lakeland, FL (NPI 1982399127).
Provider details
- NPI number
- 1982399127
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-25-84855 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2019 E Edgewood Dr.
Suite 130
Lakeland, FL 33803
Phone: (949) 235-1571
Street-level locationGet directions
Mailing address
5847 Marsh Landing Dr
Winter Haven, FL 33881-7234
Registry dates
- Enumerated
- 2023-04-05
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Frequently asked questions
- What is Domanic Brack's NPI number?
- Domanic Brack's National Provider Identifier (NPI) is 1982399127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Domanic Brack's specialty?
- Domanic Brack is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Domanic Brack located?
- Domanic Brack's practice location on file with NPPES is 2019 E Edgewood Dr., Lakeland, FL 33803.
- What is Domanic Brack's phone number?
- The practice phone number listed in the NPPES registry for Domanic Brack is (949) 235-1571.
- Is Domanic Brack's NPI active?
- Yes — Domanic Brack's NPI (1982399127) is active in the NPPES registry as of the last update on 2025-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.