Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-21-12938 | FL |
N | 106S00000X | Behavior Technician | RBT-20-116414 | FL |
NPI | 1043981921 |
---|---|
Provider Name | Alessandra Maria Dominguez Baro |
First Address | Miami, FL 33126-3737 |
Second Address | Miami, FL 33126-3737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2021 |
Last Update Date | 28/12/2021 |