LEESHA-ANN L.A. DOMINGO (NPI# 1962919100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962919100 |
| Entity Type | Individual |
| Full Name | LEESHA-ANN L.A. DOMINGO |
| Practice Address |
203 Kapaa Quarry Pl 5002 Kailua HI 96734 |
| Mailing Address |
905 Kalanianaole Hwy Spc 5001 Kailua HI 96734-4669 |
| Practice Telephone | 8082472973 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 45-955 Kamehameha Hwy # 404-405, Kaneohe, HI 967443222 | 8082472973 |
| Street Address |
203 KAPAA QUARRY PL 5002 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234989 | Sarah Elizabeth Coyle | Behavior Technician | 203 Kapaa Quarry Pl, 5002, Kailua, HI 96734 | 2020-10-30 |
| 1881209781 | Casie Alohilani Toledo Calip | Behavioral Analyst | 203 Kapaa Quarry Pl, #5002, Kailua, HI 96734 | 2020-09-09 |
| 1295357978 | Brhiannon Lynnae Winton | Behavior Technician | 203 Kapaa Quarry Pl, #5002, Kailua, HI 96734 | 2020-05-15 |
| 1760026322 | Rachel Erin Kramer-diewold | Behavior Technician | 203 Kapaa Quarry Pl, #5002, Kailua, HI 96734-9673 | 2019-11-06 |
| 1730739806 | Alexis Kishimoto | Behavior Technician | 203 Kapaa Quarry Pl, #5002, Kailua, HI 96734 | 2019-09-19 |
| 1568024941 | Larida Fears | Behavior Technician | 203 Kapaa Quarry Pl, 5002, Kailua, HI 96734 | 2019-07-05 |
| 1679134035 | Victoria Ann Gentry | Behavior Technician | 203 Kapaa Quarry Pl, 5002, Kailua, HI 96734 | 2019-06-26 |
| 1245718832 | Danielle Thornton | Behavior Technician | 203 Kapaa Quarry Pl, #5002, Kailua, HI 96734 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1578036406 | Michelle Ha | Assistant Behavior Analyst | 2 Aarona Pl, Kailua, HI 96734-2546 | 2019-01-03 |
| 1215443684 | Sally Mckeever | Assistant Behavior Analyst | 111 Hekili St Ste A406, Kailua, HI 96734-2800 | 2017-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580378 | Cierra Nascimento | Assistant Behavior Analyst | 45-224 Mahalani Cir, Kaneohe, HI 96744-2720 | 2019-04-04 |
| 1881103919 | Testiny K J Mailo | Assistant Behavior Analyst | 1046 Eho Eho Avenue, #326, Wahiawa, HI 96786 | 2017-09-20 |
| 1962922807 | Chelsi Fitzgerald | Assistant Behavior Analyst | 45-955 Kamehameha Hwy Ste 405, Kaneohe, HI 96744-3222 | 2017-06-21 |
| 1699212274 | Joscelynn Jarquio | Assistant Behavior Analyst | 533 Leipapa Pl., Eleele, HI 96705 | 2017-01-20 |
| 1922540012 | Jonathan Truslow | Assistant Behavior Analyst | 69 Railroad Ave Ste D, Hilo, HI 96720-4574 | 2016-11-07 |
| 1558813956 | Jaacquelyn Johnson | Assistant Behavior Analyst | 2207 Ioela St, Kilauea, HI 96754-5321 | 2016-11-01 |
| 1346791472 | Ryan Tokashiki | Assistant Behavior Analyst | 2740 Kapena St, Lihue, HI 96766-1511 | 2016-10-24 |
| 1629493853 | Amelia Kyewich-kaneholani | Assistant Behavior Analyst | 7160 Aina Pono St, Kapaa, HI 96746-8306 | 2014-02-25 |
| 1306454574 | Megan Merfalen | Assistant Behavior Analyst | 100 Kahelu Ave Ste 112, Mililani, HI 96789-3913 | 2020-07-14 |
| 1831733856 | Mary Grace Heleski | Assistant Behavior Analyst | 100 Kahelu Ave Ste 112, Mililani, HI 96789-3913 | 2019-11-01 |
| Find all providers with the same taxonomy | ||||
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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.