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

Ebony Domingo

Individual provider Behavior Technician · NPI 1518582394

Ebony Domingo is a Behavior Technician in Blacklick, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1582 N Waggoner Rd
Blacklick, OH 43004-8669
Phone: (303) 989-8169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1518582394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021
Mailing address1582 N Waggoner Rd, Blacklick, OH 43004-8669

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