Jerez Dominguez, Diana I

Jerez Dominguez, Diana I is an individual health care provider with primary practice located at 810 N John Young Pkwy , Kissimmee FL 34741-4912. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Jerez Dominguez, Diana I can be contacted via phone (407) 501-7960.

Contact Information

Primary practice address
810 N John Young Pkwy Kissimmee FL 34741-4912
Phone: (407) 501-7960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1679925903
LBN Legal business name Jerez Dominguez, Diana I
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Aug 26th, 2024 - about 2 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.

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