Individual provider · Type 1 NPI
Domanic Brack
Behavior Analyst · Lakeland, FL
Practice location
2019 E Edgewood Dr., Suite 130
Lakeland, FL 33803
Mailing address
5847 Marsh Landing Dr
Winter Haven, FL 33881-7234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-25-84855 (FL) |
Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…
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About NPI 1982399127
Domanic Brack's National Provider Identifier is 1982399127, issued on Apr 5, 2023. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Lakeland, FL. The record was last updated on Oct 8, 2026.