COURTNEY L DOMINGUE MA, BCBA, LBA, IBA
NPI 1144739145
Behavior Analyst in Minneola, FL

Active since September 22, 2017
2253 CROSSBOW ST, MINNEOLA, FL 34715(210) 290-6575 Get Directions Write a Review

NPPES record last updated: May 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2024, Sep 22, 2017 (2 updates tracked since 2017).

About Courtney L Domingue Ma, Bcba, Lba, Iba NPPES

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

COURTNEY L DOMINGUE MA, BCBA, LBA, IBA (NPI 1144739145) is an individual behavior analyst provider in Minneola, Florida, licensed in (1-17-27891) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1144739145
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameCOURTNEY L DOMINGUECredential: MA, BCBA, LBA, IBA
Location Address2253 CROSSBOW STMinneola, FL 34715-9315
Mailing Address2253 Crossbow StMinneola, FL 34715-9315 · (210) 290-6575
Sole ProprietorNo
Enumeration DateSeptember 22, 2017
Last NPPES UpdateMay 4, 20252 updates tracked since enumeration
NPPES CertifiedMay 4, 2025
NPI 1144739145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed · 1-17-27891
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

2253 CROSSBOW ST, Minneola, FL 34715

Other Identifiers 4

Other1-17-27891Bacb - Board Certified Behavior Analyst
Other27502033International Behavior Analysis Organization - International Behavior Analyst
Other0133003246VA · Board Of Medicine - Licensed Behavior Analyst
Other1067TX · Texas Department Of Licensing And Regulation - Licensed Behavior Analyst

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
2253 CROSSBOW ST
MINNEOLA, FL 34715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144739145, enumerated as an "individual" on September 22, 2017.

The provider is located at 2253 CROSSBOW ST MINNEOLA, FL 34715 and the phone number is (210) 290-6575.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.