Christine Marie Domschot, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA60775007 Issued in WA

Practice address

720 S 333Rd St Ste 130
Federal Way, WA 98003-7357

Phone

(253) 682-0320

Fax

(920) 857-3366

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Center for Applied Behavior Analysis

  • Behavior Analyst
  • Sammamish, WA
  • NPI 1306460977
  NPD Authorized official
• Imagine Behavioral & Developmental Services

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1619211042

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1679953681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 212TH PL SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759211",
            "telephone_number": "505-917-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 333RD ST STE 130",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037357",
            "telephone_number": "253-682-0320",
            "fax_number": "920-857-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMSCHOT",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60775007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marielouise S Dodson, LMHC
• Christine Dofredo, LMP
• Jordann Doler, LSWAIC
• Eileen Joy Domingo
• Amanda Beth Dommermuth, LMP
• Jean-Roberto Don, ND
• Dong W Han PLLC
• Dongwu Han DMD I PLLC
• Chad Dooley
• Alicia A Dorbin, LMP

• Behavior Analyst in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.