DOMINIQUE LUCAS (NPI# 1063921211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063921211 |
| Entity Type | Individual |
| Full Name | DOMINIQUE LUCAS |
| Practice Address |
7175 Columbia Gateway Dr Columbia MD 21046-2534 |
| Mailing Address |
1025 Wedgewood Rd Baltimore MD 21229-1245 |
| Practice Telephone | 8883445977 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821530296 | Dominique Patrece Lucas | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-11-16 |
| Street Address |
7175 COLUMBIA GATEWAY DR |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891083325 | Verbal Beginnings LLC | Behavioral Analyst | 7175 Columbia Gateway Dr, Suite A, Columbia, MD 21046-2534 | 2011-07-18 |
| 1659875482 | Sarah Berline | Behavioral Analyst | 7175 Columbia Gateway Dr, Columbia, MD 21046-2534 | 2018-03-19 |
| 1144739772 | Jennifer Nichole Straiton | Behavior Technician | 7175 Columbia Gateway Dr, Columbia, MD 21046-2534 | 2017-09-27 |
| 1588173462 | Christina Walther | Behavior Technician | 7175 Columbia Gateway Dr, Columbia, MD 21046-2534 | 2017-09-24 |
| 1073022232 | Mackenzie Colgan | Behavior Technician | 7175 Columbia Gateway Dr, Columbia, MD 21046-2534 | 2017-09-20 |
| 1578081675 | Alyse Thamm | Behavior Technician | 7175 Columbia Gateway Dr, Columbia, MD 21046-2534 | 2017-09-08 |
| 1164940995 | Amy Atwell | Behavioral Analyst | 7175 Columbia Gateway Dr, Columbia, MD 21046-2534 | 2017-08-31 |
| 1497272710 | Sade Dyce | Behavior Technician | 7175 Columbia Gateway Dr, Columbia, MD 21046-2534 | 2017-08-28 |
| 1639696370 | Evelyn Paige Gaffney | Behavior Technician | 7175 Columbia Gateway Dr, Columbia, MD 21046-2534 | 2017-08-24 |
| 1568987444 | Brittany George | Behavior Technician | 7175 Columbia Gateway Dr, Columbia, MD 21046-2534 | 2017-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1104423029 | Khashema Boyer | Behavior Technician | 8950 Rte 108 Ste 123, Columbia, MD 21045-2146 | 2020-10-04 |
| 1689281974 | Shalexis Wilson | Behavior Technician | 10360 Swift Stream Pl Apt 412, Columbia, MD 21044-4943 | 2020-09-30 |
| 1144834219 | Hanna Doherty | Behavior Technician | 350 Taylor St Unit G, Columbia, SC 29201-2292 | 2020-09-04 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1346859048 | Jessica Jane Russell | Behavior Technician | 1107 Carrie Bolin Dr, Columbia, KY 42728-1034 | 2020-07-28 |
| 1235748914 | Heather Marie Merchant | Behavior Technician | 5682 Stevens Forest Rd Apt 44, Columbia, MD 21045-3312 | 2020-07-28 |
| 1720606155 | Jennifer Michelle Cundiff | Behavior Technician | 309 Hurt St Apt 202, Columbia, KY 42728-2303 | 2020-07-13 |
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.