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

Individual provider Behavior Technician · NPI 1659099117

Dominic Edward Boehnke is a Behavior Technician in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

180 Center Place Way
St Augustine, FL 32095-8859
Phone: (904) 240-2179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-228771 (FL)

Record details

NPI number1659099117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022

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