Individual provider · Type 1 NPI

Dominique Tom, RBT

Behavior Technician · Columbus, GA

NPI number 1487477170 Active

Practice location

1110 13th St Ste D
Columbus, GA 31901-2246

Call (706) 641-2462 Map

Mailing address

2607 1st Ave
Phenix City, AL 36867-4103

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000X8673125 (AL)

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 1487477170

Dominique Tom, RBT's National Provider Identifier is 1487477170, issued on Nov 1, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Columbus, GA. The record was last updated on Nov 1, 2024.