Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANNE DOMINGUEZ
ActiveBREANNE DOMINGUEZ is a Behavior Analyst healthcare provider located in NORMAL, Illinois. NPI 1184280885 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · NORMAL, IL
Registration Details
- NPI Number
- 1184280885
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2019 (7.2191077186836 yrs)
- Last Updated
- Jul 29, 2020
- Licenses
-
16-22497 (IL)1-19-35887 (IL)
Practice Information
- Address
-
1606 HUNT DRNORMAL, IL, 617612192Browse IL providers · Browse ZIP 61761
- Phone
- 3094518888
- Fax
- 3094518989
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELLE WEBSTER | — | 1144658477 |
| MRS. JODI LYNN VERMILLION | M.A, BCBA | 1487073292 |
| DANIEL ERVIN | BCBA | 1518320795 |
| EMELINE MARIE FALK | BCBA | 1033628912 |
| KIMBERLEE MARISA MANIERI | BCBA | 1720563307 |
| ASHLEE DIANE CRANCER | — | 1336859644 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.