Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336915321 Individual Practitioner Male Practitioner

Dominick Anthony Detorre , RBT

Behavior Technician • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Dominick Detorre, RBT is a registered healthcare professional specializing in Behavior Technician in Melbourne, FL. Practice services are available at 4100 N WICKHAM RD UNIT 107A-260 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 N Wickham Rd Unit 107a-260

Melbourne, FL 329352485

Telephone 8558326727
Fax 7726759100
Associated Practice Facility / Clinic
🏢 Positive Behavior Supports Facility NPI 1700024296

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
646 Specialists

Practicing in Melbourne, FL (75895 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: 2025-09-25
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License FL RBT-23-313700

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
120549600 (FL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Korie Hendrix

Behavior Analyst

NPI 1003103987
NPI 1003125576

Board Certified Behavior Analyst

Ana Reyes

Technician, Other

NPI 1003203241
Josephine Potter

Technician, Other

NPI 1003205220
Larhonda Callier

Technician, Other

NPI 1003207721
Maria Zelaya Castillo

Technician, Other

NPI 1003216722

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 06, 2025

Registered at 4100 N WICKHAM RD UNIT 107A-260, MELBOURNE, FL 329352485 (Tel: 8558326727)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2025

Behavior Technician (License #RBT-23-313700 in FL)

📍
Updated Business Mailing Address March 29, 2025

Registered at 2694 PELAGORNIS DR, MELBOURNE, FL 329408806 (Tel: 3214197526)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2025

Behavior Technician

NPI Profile Active November 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2023

Registered at 3880 CATALINA ST, TITUSVILLE, FL 327962211 (Tel: 3213468450)

📍
Updated Business Mailing Address November 30, 2023

Registered at 3880 CATALINA ST, TITUSVILLE, FL 327962211 (Tel: 3213468450)

👤
Provider Name / Credentials Updated November 30, 2023

Recorded as DOMINICK DETORRE, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2023

Behavior Technician (License #RBT-23-313700 in FL)

🟢
Initial NPI Registration & Enumeration November 30, 2023

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: 1336915321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2023
Last Update: September 25, 2025
Sole Proprietor: No

Mailing Address

2694 Pelagornis Dr

Melbourne, FL 329408806

Phone: 3214197526

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.