DOMINIQUE WILLOCK
NPI 1053073189
Behavior Technician in Mcdonough, GA
- Individual
- Female
- Behavior Technician
About DOMINIQUE WILLOCK
This page provides the complete NPI Profile along with additional information for Dominique Willock, a provider established in Mcdonough, Georgia with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1053073189 assigned on October 2021. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1053073189 Verify this NPI
- Provider Name
- DOMINIQUE WILLOCK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1624 BENNETT DR MCDONOUGH, GA 30253
- Location Phone
- (516) 808-0591
- Mailing Address
- 1624 BENNETT DR MCDONOUGH, GA 30253
- Mailing Phone
- (516) 808-0591
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-06-2021
- Last Update Date
- 10-06-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Technician
- Taxonomy Code
- 106S00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053073189, enumerated as an "individual" on October 06, 2021.
The provider is located at 1624 BENNETT DR MCDONOUGH, GA 30253 and the phone number is (516) 808-0591.
Behavior Technician with taxonomy code 106S00000X.
