DGC ABA Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DGC ABA SERVICES

Practice address

102 Center Ave
Atlantic HLDS, NJ 07716-1017

Phone

(908) 812-0766

NPI assigned

Jun 10, 2022

Last updated

Jun 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig Domanski, PH.D., BCBA-DNPI 1275865149

Title

Owner/Director

Phone

(908) 812-0766

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Domanski, M.A., BCBA

  • Behavior Analyst
  • Port Monmouth, NJ
  • NPI 1275865149
  NPD Authorized official

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1285364513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CENTER AVE",
            "city": "ATLANTIC HLDS",
            "state": "NJ",
            "postal_code": "077161017",
            "telephone_number": "908-812-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CENTER AVE",
            "city": "ATLANTIC HLDS",
            "state": "NJ",
            "postal_code": "077161017",
            "telephone_number": "908-812-0766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 Sycamore Ave",
            "address_purpose": "LOCATION",
            "city": "Tinton Falls",
            "state": "NJ",
            "postal_code": "077243186",
            "country_code": "US",
            "telephone_number": "908-812-0766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DGC ABA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "DOMANSKI",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "908-812-0766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.