Active NPI 1982399127 Individual Practitioner Female Practitioner

Domanic Brack

Behavior Analyst • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Domanic Brack is a registered healthcare professional specializing in Behavior Analyst in Lakeland, FL. Practice services are available at 2019 E EDGEWOOD DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2019 E Edgewood Dr.
Suite 130

Lakeland, FL 33803

Telephone 9492351571

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lakeland, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

111 Specialists

Practicing in Lakeland, FL (13679 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-14

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-25-84855

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 14, 2025

Registered at 2019 E EDGEWOOD DR., SUITE 130, LAKELAND, FL 33803 (Tel: 9492351571)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2025

Behavior Analyst (License #1-25-84855 in FL)

✅

NPI Profile Active April 05, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location April 05, 2023

Registered at 5575 S SEMORAN BLVD STE 7, ORLANDO, FL 328221781 (Tel: 3214005254)

📍

Updated Business Mailing Address April 05, 2023

Registered at 5847 MARSH LANDING DR, WINTER HAVEN, FL 338817234 (Tel: 9492351571)

👤

Provider Name / Credentials Updated April 05, 2023

Recorded as DOMANIC BRACK

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2023

Behavior Analyst (License #RBT-23-266192 in FL)

🟢

Initial NPI Registration & Enumeration April 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982399127

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 05, 2023

Last Update: October 14, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5847 Marsh Landing Dr

Winter Haven, FL 338817234

Phone: 9492351571

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.