Individual provider · Type 1 NPI

Dominique Watson-Blake, RBT

Behavior Technician · O Fallon, IL

NPI number 1194361956 Active

Practice location

6 Eagle Ctr Ste 1
O Fallon, IL 62269-1945

Call (618) 206-8816 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: 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…

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About NPI 1194361956

Dominique Watson-Blake, RBT's National Provider Identifier is 1194361956, issued on Nov 26, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in O Fallon, IL. The record was last updated on Nov 26, 2019.