Active NPI
Lindsey Dominique, RBT
- Behavior Technician
- Atlanta, GA
National Provider Identifier
1336968130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3190 Northeast Expy NE Ste 110
Atlanta, GA 30341-5323 - Phone
- (404) 487-6005
- NPI assigned
- Oct 8, 2024
- Last updated
- Oct 8, 2024
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
3190 Northeast Expy NE Ste 110
Atlanta, GA 30341-5323
Mailing address
3190 Northeast Expy NE Ste 110
Atlanta, GA 30341-5323
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidden Talents ABA | Current | Accepting new patients | |
| Hidden Talents ABA NC LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Atlanta, GA
- NPI 1003436684
-
- Community/Behavioral Health Agency
- Mooresville, NC
- NPI 1588434104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1336968130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 NORTHEAST EXPY NE STE 110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 NORTHEAST EXPY NE STE 110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415323",
"telephone_number": "404-487-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINIQUE",
"first_name": "LINDSEY",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "U",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "3190 Northeast Expy NE Ste 110",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303415323",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
- Judy Wu Dominick, PA-C
- Dominion Orthopaedic Clinic, LLC
- Dominion Orthopaedic Clinic, LLC
- Dominion Orthopaedic Clinic, LLC
- Dominion Partners Home Care of Atlanta LLC (ComForCare Home Care)
- Don'T Go to Prison Initiative
- Nicole Ann Donahue, PA
- Donald Phillips Oral Surgery
- Donald R. Rozema DDS, PC
- Christen Donald, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.