Dominique Washington

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4405 Desoto Rd
Sarasota, FL 34235-3620

Phone

(941) 355-8808

NPI assigned

Mar 14, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Haven for Adults and Children With Disabilities, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sarasota, FL
  • NPI 1760356182
  NPD
• Hawkins Pediatric Therapy LLC

  dba Kidspot

  • Clinic/Center
  • Palmetto, FL
  • NPI 1487322939
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1215737770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 WHITMAN PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431238",
            "telephone_number": "941-920-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 DESOTO RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342353620",
            "telephone_number": "941-355-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Larson Warriner, LCSW
• Robert Sharswood Warringer, RNFA
• Warrior Physical Therapy LLC
• Jennifer Warwick, M.S., RMFTI
• Anthony Russell Wasem, D.C.
• Nancy Lea Washmuth, RPH
• Evan Chase Wasserman, DO
• Jessica E. B. Wasserman, D.O.
• Simeon Waters
• Megan Anne Watkins, APRN

• Behavior Technician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.