BREANNE DOMINGUEZ
NPI 1184280885
Behavior Analyst in Normal, IL

Active since May 17, 2019
1606 HUNT DR, NORMAL, IL 61761(309) 451-8888(309) 451-8989 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2020, Jul 3, 2019, May 17, 2019 (3 updates tracked since 2019).

About Breanne Dominguez NPPES

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

BREANNE DOMINGUEZ (NPI 1184280885) is an individual behavior analyst provider in Normal, Illinois, licensed in Illinois (1-19-35887) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1184280885
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameBREANNE DOMINGUEZ
Location Address1606 HUNT DRNormal, IL 61761-2192
Mailing Address1606 Hunt DrNormal, IL 61761-2192 · (309) 451-8888 · Fax (309) 451-8989
Fax(309) 451-8989
Sole ProprietorNo
Enumeration DateMay 17, 2019
Last NPPES UpdateJuly 29, 20203 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
NPI 1184280885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in IL · 1-19-35887
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License 16-22497 (IL)
1606 HUNT DR, Normal, IL 61761

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
1606 HUNT DR
NORMAL, IL 61761
Speech-Language Pathologist
1606 HUNT DR
NORMAL, IL 61761
Internal Medicine (Hematology & Oncology)
1606 HUNT DR
NORMAL, IL 61761
Developmental Therapist
1606 HUNT DR
NORMAL, IL 61761
Social Worker (Clinical)
1606 HUNT DR
NORMAL, IL 61761
Social Worker (Clinical)
1606 HUNT DR
NORMAL, IL 61761
Occupational Therapist (Pediatrics)
1606 HUNT DR
NORMAL, IL 61761
Nurse Practitioner (Family)
1606 HUNT DR
NORMAL, IL 61761

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 Breanne Dominguez's NPI number?

The NPI number for Breanne Dominguez is 1184280885. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Breanne Dominguez located?

Breanne Dominguez practices at 1606 Hunt Dr, Normal, IL 61761. The listed phone number is (309) 451-8888.

What is Breanne Dominguez's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Breanne Dominguez was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.