Individual provider · Type 1 NPI

Dominique Giese, BCBA

Behavior Analyst · Crestview, FL

NPI number 1497387807 Active

Practice location

4100 S Ferdon Blvd
Crestview, FL 32536-5252

Call (850) 632-6824 Map

Fax (850) 602-6932

Mailing address

4100 S Ferdon Blvd Ste B3
Crestview, FL 32536-5287

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XBACB-0-25-84988

Behavior Analyst: 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…

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About NPI 1497387807

Dominique Giese, BCBA's National Provider Identifier is 1497387807, issued on Feb 4, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Crestview, FL. The record was last updated on Oct 22, 2025.