Individual provider Active NPI

Dominika Sillery, BCBA, LBA

  • Behavior Analyst
  • Silver Spring, MD
National Provider Identifier
1437540523
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA175 Issued in MD
Practice address
1010 Wayne Ave Ste 675
Silver Spring, MD 20910
Phone
(240) 292-1719
NPI assigned
Feb 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133000545 VA
Behavior Analyst 103K00000X LBA175 MD Primary

Addresses

Primary practice location

1010 Wayne Ave Ste 675
Silver Spring, MD 20910

Mailing address

1010 Wayne Ave Ste 675
Silver Spring, MD 20910-5676

Other practice location 1

6563 Edsall Rd
Springfield, VA 22151-4414
Phone (703) 354-0000

Other practice location 2

314 Philadelphia Ave
#223
Takoma Park, MD 20912-4210
Phone (240) 292-1719 ext. 21719

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

State licenses

LicenseStateTypeSpecialty
LBA175MDMDBehavioral Analyst
0133000545VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Melrose Family Services Behavior Analyst Current Accepting new patients
Multicultural Clinical Center Past Accepting new patients
Multicultural Clinical Center Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1437540523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WAYNE AVE STE 675",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WAYNE AVE STE 675",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "240-292-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6563 Edsall Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221514414",
            "country_code": "US",
            "telephone_number": "703-354-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Philadelphia Ave",
            "address_2": "#223",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209124210",
            "country_code": "US",
            "telephone_number": "240-292-1719 x21719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILLERY",
        "first_name": "DOMINIKA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000545",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.