Most Relevant Information
Provider Data
| NPI Number: | 1003489691 |
| Provider Name: | ALYSSA MERCEDES DOMINGUEZ BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/21/2021 |
| Last Updated: | 05/31/2024 |
Provider Practice Location
750 NW 15TH ST
MIAMI
FL
331361431
Practice Location Phone/Fax
| Phone: | 3053251818 |
| Fax: |
Provider Mailing Location
5131 SW 93RD CT
MIAMI
FL
331656516
Provider Mailing Phone/Fax
| Phone: | 3058780781 |
| Fax: |