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 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 TypeIndividualFemale
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
Sole ProprietorYes
Enumeration DateApril 5, 2023
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
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

Accepted 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 and Ambetter of Alabama 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 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.