DOMINIQUE COOPER (NPI# 1780105494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780105494 |
| Entity Type | Individual |
| Full Name | DOMINIQUE COOPER |
| Practice Address |
3731 6th Ave Ste 100 San Diego CA 92103-4383 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 8552237123 |
| Practice Fax Number | 6193747134 |
| Mailing Telephone | 8552237123 |
| Mailing Fax Number | 6193747134 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-26612 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639709280 | Dominique Cooper | Behavioral Analyst | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-01-23 |
| Street Address |
3731 6TH AVE STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033376322 | Lisa Christine Walker | Speech-Language Pathologist | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2008-05-22 |
| 1215567979 | Lunesha Hale | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-22 |
| 1891325742 | Brittanie Autumn Nguyen | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-20 |
| 1053941906 | Forest Mitchell | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-20 |
| 1831729888 | Jennifer Marie Busalacchi | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-17 |
| 1679113831 | Madeleine Gagne | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-15 |
| 1871133140 | Nadia Maria Espinoza | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-14 |
| 1588204937 | Casey Beriah Cummins | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-14 |
| 1831739242 | Liora Berkstein | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-14 |
| 1285274555 | Mehak Kaur Dureja | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1124637384 | Best Life Aba | Behavioral Analyst | 5227 Lenore Dr, San Diego, CA 92115-1639 | 2020-07-23 |
| 1992313423 | Vailala Felicia Gregory | Behavioral Analyst | 2721 Ridge View Dr, San Diego, CA 92105-4857 | 2020-07-21 |
| 1295359768 | Jake Wylie | Behavioral Analyst | 2848 Ash St, San Diego, CA 92102-1753 | 2020-06-01 |
| 1881215739 | Arasila | Behavioral Analyst | 4653 Carmel Mountain Rd Ste 308-252, San Diego, CA 92130-6650 | 2020-05-01 |
| 1255978623 | Playba | Behavioral Analyst | 4504 60th St Unit 6, San Diego, CA 92115-5470 | 2019-12-04 |
| 1689217374 | Elizabeth Gallagher | Behavioral Analyst | 1721 Grand Ave, San Diego, CA 92109-4415 | 2019-10-24 |
| 1679122568 | Carolyn Newtson | Behavioral Analyst | 9620 Chesapeake Dr Ste 205, San Diego, CA 92123-1324 | 2019-09-04 |
| 1518519933 | Communication Lab LLC | Behavioral Analyst | 4566 Pescadero Ave, San Diego, CA 92107-3537 | 2019-07-15 |
| 1538722889 | Seeds Therapy Center | Behavioral Analyst | 2707 Congress St Ste 1r, San Diego, CA 92110-2764 | 2019-04-22 |
| Find all providers in SAN DIEGO | ||||
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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.