1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Behavior Analyst
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOMANIC BRACK
NPI 1982399127
Behavior Analyst in Lakeland, FL

Active since April 05, 2023
2019 E EDGEWOOD DR., SUITE 130, LAKELAND, FL 33803(949) 235-1571 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Apr 5, 2023 (2 updates tracked since 2023).

About Domanic Brack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMANIC BRACK (NPI 1982399127) is an individual behavior analyst provider in Lakeland, Florida, licensed in Florida (1-25-84855) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1982399127
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameDOMANIC BRACK
Location Address2019 E EDGEWOOD DR., SUITE 130Lakeland, FL 33803
Mailing Address5847 Marsh Landing DrWinter Haven, FL 33881-7234 · (949) 235-1571
Phone(949) 235-1571
Sole ProprietorYes
Enumeration DateApril 5, 2023
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1982399127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in FL · 1-25-84855
Definition
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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
2019 E EDGEWOOD DR., Lakeland, FL 33803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Domanic Brack's NPI number?

The NPI number for Domanic Brack is 1982399127. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Domanic Brack located?

Domanic Brack practices at 2019 E Edgewood Dr. Suite 130, Lakeland, FL 33803. The listed phone number is (949) 235-1571.

What is Domanic Brack's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Domanic Brack accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Domanic Brack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Domanic Brack was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.