Individual provider · Type 1 NPI

Tiffany Ann Dominguez, BS SLPA

Developmental Therapist · Sunrise, FL

NPI number 1184073074 Active

Practice location

14201 W Sunrise Blvd, Suite 107
Sunrise, FL 33323-3207

Call (954) 756-2818 Map

Fax (954) 514-1126

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801XSI2496 (FL)
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1184073074

Tiffany Ann Dominguez, BS SLPA's National Provider Identifier is 1184073074, issued on Jun 10, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Sunrise, FL. The record was last updated on Jun 7, 2022.