Active NPI
Dominika Sillery, BCBA, LBA
- Behavior Analyst
- Silver Spring, MD
National Provider Identifier
1437540523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA175
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LBA175 | MD | MD | Behavioral Analyst |
| 0133000545 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Behavior Analyst
- Dover, DE
- NPI 1326760729
-
- Community/Behavioral Health Agency
- Springfield, VA
- NPI 1487989471
-
- Counselor
- Springfield, VA
- NPI 1952360612
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
- Rose Ncho Sikod
- Lauren Rebecca Silberman, LGMFT
- Sandra Lee Silbermann, LCSW-C
- Mary Agnes Silberstein, MSW LCSW C
- Megan Rachael Silfee, COTA/L
- Bryan W Silva, PSY.D.
- Silver Spring Artificial Kidney Center, LLC
- Silver Spring Assisted Living Inc (Silver Spring Assisted Living)
- Silver Spring Bridge to Care (Fyzical Therapy & Balance Centers)
- Silver Spring Counseling and Associates LLC
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.