Dominique Counos, BCBA, LABA
Individual provider Active NPI Behavior Analyst · Bridgewater, MA
NPI 1295520807 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1295520807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- LABA10001518 (MA)
- Practice address
- 792 Plymouth St
Bridgewater, MA 02324-2752 - Phone
- (508) 807-4996
- NPI assigned
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LABA10001518 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Connections | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LABA10001518 | MA | Yes |
Addresses
Primary practice location
792 Plymouth St
Bridgewater, MA 02324-2752
Mailing address
792 Plymouth St
Bridgewater, MA 02324-2752
Phone (508) 807-4996
Other providers in Bridgewater, MA
- Sarah Frances Cordle
- Victoria Correia
- Lauren Costa
- Laurie Costa
- Stephanie Nicole Costa
- Michelle Courcy
- Daniel Oakes Coyne
- Beth Ellen Crotty
- Julie Crowley
- Kaitlyn A Crowley
All providers in Bridgewater, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2025. 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.