Individual provider · Type 1 NPI

Dominique Mannerino

Behavior Analyst · Madison, WI

NPI number 1992450019 Active

Practice location

3113 W Beltline Hwy
Madison, WI 53713-2848

Call (608) 819-6810 Map

Mailing address

6225 Smith Ave Ste 1001A
Baltimore, MD 21209-3626

Specialties and licenses

Taxonomy	Code	License
Behavior Technician	106S00000X	RBT-22-203703 (FL)
Behavior Analyst Primary	103K00000X	None listed

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 1992450019

Dominique Mannerino's National Provider Identifier is 1992450019, issued on Feb 17, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Madison, WI. The record was last updated on Dec 3, 2025.