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Valissa Dornick

Behavior Technician β€’ Independence, OH

Active NPI 1295360832 Individual Practitioner Female Practitioner
Practice location in NPPES

4700 Rockside Rd
Independence, OH 441312155

Call 4408534257 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

4700 Rockside Rd

Independence, OH 441312155

Telephone 4408534257
Organization at the Same NPPES Address or Phone
Gary Joseph Do, Inc. Facility NPI 1609006329

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Willoughby Hills, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

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 Independence and Ohio

6 active clinicians are listed under Behavior Technician with a practice address in Independence, OH (7,562 in Ohio).

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: 2021-06-08
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

License # reported to NPPES OH 19-76987

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

2785 Som Center Rd

Willoughby Hills, OH 440946501

Phone: 2162780288

Clinicians Sharing This Practice Address or Phone

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

1 listed
Cassandra Skul , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1679925747

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location June 08, 2021

Registered at 4700 ROCKSIDE RD, INDEPENDENCE, OH 441312155 (Tel: 4408534257)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2021

Case Manager/Care Coordinator

βœ…
NPI Profile Active March 04, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 04, 2020

Registered at 2785 SOM CENTER RD, WILLOUGHBY HILLS, OH 440946501 (Tel: 2162780288)

πŸ“
Business Mailing Address (Initial Record) March 04, 2020

Registered at 2785 SOM CENTER RD, WILLOUGHBY HILLS, OH 440946501 (Tel: 2162780288)

πŸ‘€
Provider Name / Credentials (Initial Record) March 04, 2020

Recorded as VALISSA DORNICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2020

Behavior Technician (license number reported to NPPES: OH 19-76987)

🟒
Initial NPI Registration & Enumeration March 04, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295360832
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2020
Last Update: June 08, 2021
Sole Proprietor: No

Mailing Address

2785 Som Center Rd

Willoughby Hills, OH 440946501

Phone: 2162780288

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.