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Breanne Dominguez

Behavior Analyst β€’ Normal, IL

Active NPI 1184280885 Individual Practitioner Female Practitioner
Practice location in NPPES

1606 Hunt Dr
Normal, IL 617612192

Call 3094518888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1606 Hunt Dr

Normal, IL 617612192

Telephone 3094518888
Fax 3094518989
Organization at the Same NPPES Address or Phone
Mid-Illinois Hematology Oncology Associates Ltd Facility NPI 1467467803

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Normal and Illinois

10 active clinicians are listed under Behavior Analyst with a practice address in Normal, IL (3,085 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES IL 1-19-35887

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

License # reported to NPPES IL 16-22497

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Lyndi Alberts , APN, FNP

Nurse Practitioner - Family

NPI 1346673308

Advanced Practice Nurse, Family Nurse Practitioner

Dr. Hwan Jeong , MD

Internal Medicine - Hematology & Oncology

NPI 1366440604

Doctor of Medicine (M.D.)

Pamela Madden , FNP

Nurse Practitioner - Family

NPI 1518419233

Family Nurse Practitioner

Dr. John Migas , MD

Internal Medicine - Medical Oncology

NPI 1629076971

Doctor of Medicine (M.D.)

Dr. Pramern Sriratana , MD

Internal Medicine - Hematology & Oncology

NPI 1174522189

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 29, 2020

Registered at 1606 HUNT DR, NORMAL, IL 617612192 (Tel: 3094518888)

πŸ“
Updated Business Mailing Address July 29, 2020

Registered at 1606 HUNT DR, NORMAL, IL 617612192 (Tel: 3094518888)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2019

Behavior Analyst (license number reported to NPPES: IL 1-19-35887)

βœ…
NPI Profile Active May 17, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 17, 2019

Registered at 650 W GRAND AVE STE 207, ELMHURST, IL 601261025 (Tel: 8442631613)

πŸ“
Business Mailing Address (Initial Record) May 17, 2019

Registered at 650 W GRAND AVE STE 207, ELMHURST, IL 601261025 (Tel: 8442631613)

πŸ‘€
Provider Name / Credentials (Initial Record) May 17, 2019

Recorded as BREANNE DOMINGUEZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2019

Behavior Technician (license number reported to NPPES: IL 16-22497)

🟒
Initial NPI Registration & Enumeration May 17, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184280885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2019
Last Update: July 29, 2020
Sole Proprietor: No

Mailing Address

1606 Hunt Dr

Normal, IL 617612192

Phone: 3094518888

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.