Most Relevant Information
Provider Data
| NPI Number: | 1003502170 |
| Provider Name: | NORA DOMINGUEZ RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2023 |
| Last Updated: | 06/06/2024 |
Provider Practice Location
902 W LUMSDEN RD #105
BRANDON
FL
335118806
Practice Location Phone/Fax
| Phone: | 8133247538 |
| Fax: | 8133247538 |
Provider Mailing Location
902 W LUMSDEN RD STE 105
BRANDON
FL
335118806
Provider Mailing Phone/Fax
| Phone: | 8133247538 |
| Fax: | 8133247538 |