Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497387807 Individual Practitioner Female Practitioner

Dominique Giese , BCBA

Behavior Analyst • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Dominique Giese, BCBA is a registered healthcare professional specializing in Behavior Analyst in Crestview, FL. Practice services are available at 4100 S FERDON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 S Ferdon Blvd

Crestview, FL 325365252

Telephone 8506326824
Fax 8506026932
Associated Practice Facility / Clinic
🏢 Prime Therapy, Inc Facility NPI 1316996713

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
27 Specialists

Practicing in Crestview, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None BACB-0-25-84988

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Jessica Gibson , MSN, CNM, ARNP

Advanced Practice Midwife

NPI 1013213057

Master of Science in Nursing, Certified Nurse Midwife, Advanced Registered Nurse Practitioner

Randyn Mcmillan , CO, LDO

Technician/Technologist - Orthoptist

NPI 1124775168

Certified Orthotist, LDO

Allison Rivers

Speech-Language Pathologist

NPI 1184013385
Diana Gibbs

Physical Therapist

NPI 1225839731
NPI 1245438704

Certified Orthotist

Stacy Taylor

Occupational Therapist

NPI 1285879783

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
👤
Provider Name / Credentials Updated October 22, 2025

Recorded as DOMINIQUE GIESE, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Behavior Analyst (License #BACB-0-25-84988 in None)

📍
Updated Practice Location August 19, 2025

Registered at 4100 S FERDON BLVD, CRESTVIEW, FL 325365252 (Tel: 8506326824)

📍
Updated Business Mailing Address August 19, 2025

Registered at 4100 S FERDON BLVD STE B3, CRESTVIEW, FL 325365287 (Tel: 8503626824)

📍
Updated Practice Location January 31, 2023

Registered at 232 N BRUNS LN, SPRINGFIELD, IL 627024613 (Tel: 2177932100)

📍
Updated Business Mailing Address January 31, 2023

Registered at 232 N BRUNS LN, SPRINGFIELD, IL 627024613 (Tel: 2177932100)

👤
Provider Name / Credentials Updated January 31, 2023

Recorded as DOMINIQUE GIESE, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2023

Assistant Behavior Analyst (License #BACB-0-21-11871 in None)

NPI Profile Active February 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2020

Registered at 851 N WILSON ST, CRESTVIEW, FL 325362639 (Tel: 8506036910)

📍
Updated Business Mailing Address February 04, 2020

Registered at 3771 STEFANI RD, CANTONMENT, FL 325337795 (Tel: 8506026910)

👤
Provider Name / Credentials Updated February 04, 2020

Recorded as DOMINIQUE STEDGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration February 04, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497387807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2020
Last Update: October 22, 2025
Sole Proprietor: No

Mailing Address

4100 S Ferdon Blvd Ste B3

Crestview, FL 325365287

Phone: 8503626824

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.