Domanic Brack

NPI #1982399127 in Lakeland, Florida

Provider Information

NPI Number: 1982399127
Entity Type: Individual
Name: Domanic Brack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 5, 2023
Last Updated: Oct 14, 2025

Practice Location

Address: 2019 E EDGEWOOD DR.
Address 2: SUITE 130
City: Lakeland
State: Florida
ZIP Code: 33803
Phone: (949) 235-1571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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