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Active NPI 1659099117 Individual Practitioner Male Practitioner

Dominic Edward Boehnke

Behavior Technician • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dominic Boehnke is a registered healthcare professional specializing in Behavior Technician in St Augustine, FL. Practice services are available at 180 CENTER PLACE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

180 Center Place Way

St Augustine, FL 320958859

Telephone 9042402179

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in St Augustine, FL

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

Practicing in St Augustine, 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: 2022-08-19
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License FL RBT-22-228771

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.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Lauren Roberts

Behavior Technician

NPI 1114758364
Melissa Thomas

Behavior Technician

NPI 1265239503
Mitchell Miller

Behavior Technician

NPI 1326734120
Alexis Rodriguez

Behavior Technician

NPI 1356172514
Brianna Johnson

Behavior Technician

NPI 1366375164
Renzo Diaz

Behavior Technician

NPI 1386482289

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2022

Registered at 180 CENTER PLACE WAY, ST AUGUSTINE, FL 320958859 (Tel: 9042402179)

📍
Updated Business Mailing Address August 19, 2022

Registered at 2439 HAMPTON FALLS DR W, JACKSONVILLE, FL 322243873

👤
Provider Name / Credentials Updated August 19, 2022

Recorded as DOMINIC BOEHNKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2022

Behavior Technician (License #RBT-22-228771 in FL)

🟢
Initial NPI Registration & Enumeration August 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659099117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2022
Last Update: August 19, 2022
Sole Proprietor: Yes

Mailing Address

2439 Hampton Falls Dr W

Jacksonville, FL 322243873

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.