Dominic Joseph Bresee

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12501 28TH Ave NE
Seattle, WA 98125-4319

Phone

(206) 684-7518

NPI assigned

May 10, 2023

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1912697285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 NE 117TH ST SEATTLE WA 98125",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-910-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 28TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254319",
            "telephone_number": "206-684-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESEE",
        "first_name": "DOMINIC",
        "middle_name": "JOSEPH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Brenon
• Brent R. Wendel, DPM, Inc, P.S.
• Natalie Brentnall, COTA/L
• Teresa A Brentnall
• Crystal Marie Brescia
• Laura Breshock
• Christina M Bresina
• Wanda W Bresnick, M.S.W.
• Matthew Bressie, M.D.
• Anita Marie Brethauer, PHARM.D.

• Behavior Technician in Seattle, WA
• Providers in Seattle, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.