DOMINIC MARCELLUS LIDDELL
NPI 1750077426
Behavior Technician in Chicago, IL

Active since April 14, 2023
1409 W CARROLL AVE, CHICAGO, IL 60607(312) 733-0883 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2023, Apr 14, 2023 (2 updates tracked since 2023).

About Dominic Marcellus Liddell NPPES

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

DOMINIC MARCELLUS LIDDELL (NPI 1750077426) is an individual behavior technician in Chicago, Illinois and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1750077426
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameDOMINIC MARCELLUS LIDDELL
Location Address1409 W CARROLL AVEChicago, IL 60607-1105
Mailing Address1409 W Carroll AveChicago, IL 60607-1105 · (312) 733-0883
Sole ProprietorNo
Enumeration DateApril 14, 2023
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1750077426 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.
1409 W CARROLL AVE, Chicago, IL 60607

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.

Behavior Technician
1409 W CARROLL AVE
CHICAGO, IL 60607
Speech-Language Pathologist
1409 W CARROLL AVE
CHICAGO, IL 60607
Behavior Technician
1409 W CARROLL AVE
CHICAGO, IL 60607
Behavior Analyst
1409 W CARROLL AVE
CHICAGO, IL 60607
Speech-Language Pathologist
1409 W CARROLL AVE
CHICAGO, IL 60607
Physical Therapy Assistant
1409 W CARROLL AVE
CHICAGO, IL 60607
Behavior Technician
1409 W CARROLL AVE
CHICAGO, IL 60607
Social Worker (Clinical)
1409 W CARROLL AVE
CHICAGO, IL 60607

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 Dominic Liddell's NPI number?

The NPI number for Dominic Liddell is 1750077426. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Dominic Liddell located?

Dominic Liddell practices at 1409 W Carroll Ave, Chicago, IL 60607. The listed phone number is (312) 733-0883.

What is Dominic Liddell'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 Dominic Liddell was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.