Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518582394 Individual Practitioner Female Practitioner

Ebony Domingo

Case Manager/Care Coordinator • Blacklick, OH

Professional Overview & Biography Verified Profile Summary

Ebony Domingo is a registered healthcare professional specializing in Case Manager/Care Coordinator in Blacklick, OH. Practice services are available at 1582 N WAGGONER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1582 N Waggoner Rd

Blacklick, OH 430048669

Telephone 3039898169
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Blacklick, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Blacklick, OH (35490 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: 2021-07-23
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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
2910854 (OH)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Sitara Ethiraj

Behavior Analyst

NPI 1003306440
Jennifer Anselmo

Behavior Technician

NPI 1003377557
Lina Mena

Behavior Technician

NPI 1003379041
Naila Tyner

Behavior Technician

NPI 1003381666
Devin Trujillo

Behavior Technician

NPI 1003388778
Miriam De La Cruz Ahedo

Behavior Technician

NPI 1003400532

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2021

Case Manager/Care Coordinator

NPI Profile Active June 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2020

Registered at 1582 N WAGGONER RD, BLACKLICK, OH 430048669 (Tel: 3039898169)

📍
Updated Business Mailing Address June 08, 2020

Registered at 1582 N WAGGONER RD, BLACKLICK, OH 430048669

👤
Provider Name / Credentials Updated June 08, 2020

Recorded as EBONY DOMINGO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration June 08, 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: 1518582394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2020
Last Update: July 23, 2021
Sole Proprietor: Yes

Mailing Address

1582 N Waggoner Rd

Blacklick, OH 430048669

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.