Craig Domanski, M.A., BCBA
Individual provider Active NPI Behavior Analyst · Port Monmouth, NJ
NPI 1275865149 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1275865149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 8 Central Ave
Port Monmouth, NJ 07758-1337 - Phone
- (908) 812-0766
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DGC ABA Services | Behavior Analyst | Current | Accepting new patients |
| Domanski ABA Services | Behavior Analyst | Current | Accepting new patients |
| Data Group Central | Behavior Analyst | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
8 Central Ave
Port Monmouth, NJ 07758-1337
Mailing address
8 Central Ave
Port Monmouth, NJ 07758-1337
Other providers in Port Monmouth, NJ
- Leeann Rose Bennett
- George Richard Bulger
- Center for Family Support, New Jersey, Inc.
- Community Options, Inc.
- Daniel Deshong
- Drug Fair Group, Inc.
- Brianne Dwyer
- Eckerd Corporation
- Jay Hochheiser
- Home Stretch Consulting, LLC
All providers in Port Monmouth, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.