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Contact Information

LISANDRA DOMINGUEZ CONTRERAS
25325SW 125CT HOMESTEAD FLORIDA 33032
HOMESTEAD, FL33032
 Phone: 786-399-5059
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for LISANDRA DOMINGUEZ CONTRERAS · (Female)

NPI # 1598428799
Status Active
Credentials
Entity Individual
Enumeration date 10/15/2021
Last updated 02/05/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 1-24-78555
  • FL Medicaid 111257400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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