DOMINIQUE MICHELLEE ROUGEAU (NPI# 1790259463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790259463 |
| Entity Type | Individual |
| Full Name | DOMINIQUE MICHELLEE ROUGEAU |
| Credential | MA, BCBA, LBA |
| Practice Address |
127 Williamsburg St Bldg E Lake Charles LA 70605-5719 |
| Mailing Address |
Po Box 1273 Lake Charles LA 70602-1273 |
| Practice Telephone | 3373760136 |
| Practice Fax Number | 3373765244 |
| Mailing Telephone | 3373760136 |
| Mailing Fax Number | 3373765244 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | L-344 | LA | Behavioral Health & Social Service Providers |
| Street Address |
127 WILLIAMSBURG ST BLDG E |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407234446 | Sergio Hayes | Counselor | 127 Williamsburg St Bldg E, Lake Charles, LA 70605-5719 | 2015-05-11 |
| 1558900571 | Yosha Cheri Lawrence | Behavioral Analyst | 127 Williamsburg St Bldg E, Lake Charles, LA 70605-5719 | 2019-12-23 |
| 1871069435 | Jimmy F Trahan | Counselor | 127 Williamsburg St Bldg E, Lake Charles, LA 70605-5719 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| 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 |
|---|---|---|---|---|
| 1043858343 | Michael J Thomas Enterprise LLC | Behavioral Analyst | 2529 19th St, Lake Charles, LA 70601-8143 | 2019-12-17 |
| 1780249656 | Brite Aba Therapy | Behavioral Analyst | 1005 13th St, Lake Charles, LA 70601-7565 | 2019-05-07 |
| 1629633987 | Little Engines Aba Center LLC | Behavioral Analyst | 2001 Southwood Dr Ste A, Lake Charles, LA 70605-4139 | 2019-05-02 |
| 1801459557 | Bright Start Behavioral Services | Behavioral Analyst | 3026 Ryan St, Lake Charles, LA 70601-8513 | 2019-04-18 |
| 1669982518 | Maggie Marie Kurtzuba | Behavioral Analyst | 4019 Common St, Lake Charles, LA 70607-2942 | 2017-10-05 |
| 1407380686 | Bianca Lilly | Behavioral Analyst | 1005 13th St., Lake Charles, LA 70601 | 2017-04-14 |
| 1801242649 | Monoca Griffin | Behavioral Analyst | 3000 6th St, Lake Charles, LA 70615-4919 | 2016-05-11 |
| 1093179384 | Amberlee Kron | Behavioral Analyst | 4205 Ryan St Box 91895, Lake Charles, LA 70609-1895 | 2016-04-12 |
| 1235598277 | Sarah Schultz | Behavioral Analyst | 2519 Ryan Street, Lake Charles, LA 70601 | 2016-02-18 |
| 1730568304 | Nelson Ray Dronet Jr. | Behavioral Analyst | 4205 Ryan St # 91895, Lake Charles, LA 70605-4511 | 2015-05-28 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.