Laurel Esther Domino, BCBA
Behavior Analyst in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1982179669
StatusActive
Last updated in NPPESMay 5, 2025
Details
- NPI
- 1982179669
- Entity type
- Individual (NPI-1)
- Name
- Laurel Esther Domino
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2018
- Certification date
- May 5, 2025
- Last updated
- May 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-20-45053 | FL | Yes |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 855-772-8847
Mailing address
1161 Lake Cook RdDeerfield, IL 60015-5649
Phone 847-498-5437 · Fax 847-498-5438
Other practice locations
2979 Pga Blvd # 200
Palm Beach Gardens, FL 33410-2911
Palm Beach Gardens, FL 33410-2911
Phone 813-981-0815
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