DOMINIQUE WALLER
NPI 1790529568
Behavior Technician in Roanoke, VA

Active since June 25, 2024
214 WESTSIDE BLVD, APT. 6, ROANOKE, VA 24017(540) 278-9002 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique Waller NPPES

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

DOMINIQUE WALLER (NPI 1790529568) is an individual behavior technician in Roanoke, Virginia, licensed in Virginia (RBT-23-281401) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1790529568
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameDOMINIQUE WALLER
Location Address214 WESTSIDE BLVD, APT. 6Roanoke, VA 24017
Mailing Address214 Westside Blvd, Apt. 6Roanoke, VA 24017 · (540) 278-9002
Sole ProprietorNo
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
NPI 1790529568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in VA · RBT-23-281401
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.
214 WESTSIDE BLVD, Roanoke, VA 24017

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 Waller's NPI number?

The NPI number for Dominique Waller is 1790529568. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Dominique Waller located?

Dominique Waller practices at 214 Westside Blvd Apt. 6, Roanoke, VA 24017. The listed phone number is (540) 278-9002.

What is Dominique Waller'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 Waller was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.