MEDICARE: YURIMA DOMINGUEZ CARDONA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-461600	FL

General Provider Information

NPI Number	:	1669352100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YURIMA DOMINGUEZ CARDONA

Provider Business Mailing Address
First Line	:	1619 JULIE TONIA DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5516
Country	:	US
Telephone Number	:	561-301-2891
Fax Number	:

Provider Business Practice Location Address
First Line	:	1480 S MILITARY TRL STE 7&8
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-9187
Country	:	US
Telephone Number	:	561-653-1245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/05/2025

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Directions to “ YURIMA DOMINGUEZ CARDONA ” Practice Location

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