Dominique Mann , RBT
Behavior Technician • Macon, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dominique Mann has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dominique Mann, RBT was a registered Behavior Technician practicing in Macon, GA. Throughout an active medical career spanning 1 years, Dominique Mann provided care at the practice location at 4931 RIVERSIDE DR STE 400A until profile deactivation on 2023-08-16.
Practice Location & Contact Primary Location
4931 Riverside Dr Ste 400a
Macon, GA 312101195
Specialty Benchmarks & Practice Insights
Comparative analytics for Behavior Technician in Macon, GA
Practicing in Macon, GA (12251 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Behavior Analyst
Master of Arts, Board Certified Behavior Analyst, Licensed Behavior Analyst
Behavior Analyst
Behavior Analyst
Master of Arts, Board Certified Behavior Analyst
Behavior Analyst
Master of Science, Board Certified Behavior Analyst
Behavior Analyst
Behavior Technician
Registered Behavior Technician
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 16, 2023
NPI status registered as active in NPPES database
Registered at 4931 RIVERSIDE DR STE 400A, MACON, GA 312101195 (Tel: 4782197626)
Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)
Recorded as DOMINIQUE MANN, RBT
Behavior Technician (License #RBT-22-231481 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 462686135
Phone: 8553240885
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