1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Behavior Analyst
  6. NPI Profile

NICOLE ELIZABETH DOMACHOWSKI BCBA
NPI 1508440801
Behavior Analyst in Saint Louis, MO

Active since May 12, 2021
12110 CLAYTON RD, SAINT LOUIS, MO 63131(314) 989-6150 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Elizabeth Domachowski Bcba NPPES

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

NICOLE ELIZABETH DOMACHOWSKI BCBA (NPI 1508440801) is an individual behavior analyst provider in Saint Louis, Missouri, licensed in Missouri (2021014350) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1508440801
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameNICOLE ELIZABETH DOMACHOWSKICredential: BCBA
Location Address12110 CLAYTON RDSaint Louis, MO 63131-2516
Mailing Address12110 Clayton RdSaint Louis, MO 63131-2516 · (314) 989-6150
Phone(314) 989-6150
Sole ProprietorNo
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1508440801 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 in MO · 2021014350
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.
12110 CLAYTON RD, Saint Louis, MO 63131
Open in Google Maps ↗

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.

MAUREEN MERSMAN
Speech-Language Pathologist
12110 CLAYTON RD
SAINT LOUIS, MO 63131
St. Louis County (314) 989-8150
MARGARET WALKENHORST
Speech-Language Pathologist
12110 CLAYTON RD
SAINT LOUIS, MO 63131
St. Louis County (314) 989-8150
KRISTEN ANNE OTTENLIPS MA CF-SLP
Speech-Language Pathologist
12110 CLAYTON RD
SAINT LOUIS, MO 63131
St. Louis County (314) 989-8100
MARIGLENN GOLDEN BOGGS
Speech-Language Pathologist
12110 CLAYTON RD
SAINT LOUIS, MO 63131
St. Louis County (314) 989-8100
AMELIA MARTIN
Speech-Language Pathologist
12110 CLAYTON RD
SAINT LOUIS, MO 63131
St. Louis County (314) 989-8100
LORI BETH GLASSMAN
Speech-Language Pathologist
12110 CLAYTON RD
SAINT LOUIS, MO 63131
St. Louis County (314) 989-8100
LEAH MOEHLENBROCK
Speech-Language Pathologist
12110 CLAYTON RD
SAINT LOUIS, MO 63131
St. Louis County (314) 989-8150
EMILY WILTSCH
Behavior Analyst
12110 CLAYTON RD
SAINT LOUIS, MO 63131
St. Louis County (314) 989-8150

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 Nicole Domachowski's NPI number?

The NPI number for Nicole Domachowski is 1508440801. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Nicole Domachowski located?

Nicole Domachowski practices at 12110 Clayton Rd, Saint Louis, MO 63131. The listed phone number is (314) 989-6150.

What is Nicole Domachowski'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 Nicole Domachowski was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.