Individual
COURTNEY L DOMINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA, IBA
Contact information
Practice address
2253 CROSSBOW ST, MINNEOLA, FL 34715-9315
(210) 290-6575
Mailing address
2253 CROSSBOW ST, MINNEOLA, FL 34715-9315
(210) 290-6575
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27891
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133003246
BOARD OF MEDICINE - LICENSED BEHAVIOR ANALYST
VA
01
—
1-17-27891
BACB - BOARD CERTIFIED BEHAVIOR ANALYST
—
01
—
1067
TEXAS DEPARTMENT OF LICENSING AND REGULATION - LICENSED BEHAVIOR ANALYST
TX
01
—
27502033
INTERNATIONAL BEHAVIOR ANALYSIS ORGANIZATION - INTERNATIONAL BEHAVIOR ANALYST
—
Enumeration date
09/22/2017
Last updated
05/04/2025
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