DOMINIQUE WILLOCK
NPI 1053073189
Behavior Technician in Mcdonough, GA

Active since October 06, 2021
1624 BENNETT DR, MCDONOUGH, GA 30253(516) 808-0591 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique Willock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE WILLOCK (NPI 1053073189) is an individual behavior technician in Mcdonough, Georgia and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1053073189
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameDOMINIQUE WILLOCK
Location Address1624 BENNETT DRMcdonough, GA 30253-9010
Mailing Address1624 Bennett DrMcdonough, GA 30253-9010 · (516) 808-0591
Sole ProprietorYes
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
NPI 1053073189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
1624 BENNETT DR, Mcdonough, GA 30253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Willock's NPI number?

The NPI number for Dominique Willock is 1053073189. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Dominique Willock located?

Dominique Willock practices at 1624 Bennett Dr, Mcdonough, GA 30253. The listed phone number is (516) 808-0591.

What is Dominique Willock's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Dominique Willock was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.