Dominguez, Amanda

Dominguez, Amanda is an individual health care provider with primary practice located at 5600 Cougar Dr , Naples FL 34109-5903. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Dominguez, Amanda can be contacted via phone (239) 600-1877.

Contact Information

Primary practice address
5600 Cougar Dr Naples FL 34109-5903
Phone: (239) 600-1877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 17-46880 Florida
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-21-13138 Florida

Profile Details

NPI number 1184135139
LBN Legal business name Dominguez, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2017
Last updated Nov 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers