Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanne Dominguez

Individual provider Behavior Technician · NPI 1184280885

Breanne Dominguez is a Behavior Technician in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1606 Hunt Dr
Normal, IL 61761-2192
Phone: (309) 451-8888
Fax: (309) 451-8989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-19-35887 (IL)
Behavior Technician Taxonomy 106S00000X · Licence 16-22497 (IL)

Record details

NPI number1184280885
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2019
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020
Mailing address1606 Hunt Dr, Normal, IL 61761-2192

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