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Dominique Southers
NPI 1225766504 · Behavior Technician · Charlotte, NC
Dominique Southers is a Behavior Technician provider in Charlotte, NC (NPI 1225766504).
Provider details
- NPI number
- 1225766504
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 E 7th St
Charlotte, NC 28204-6300
Phone: (704) 780-4271
Fax: (888) 261-6694
Street-level locationGet directions
Mailing address
1401 E 7th St
Charlotte, NC 28204-6300
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Dominique Southers's NPI number?
- Dominique Southers's National Provider Identifier (NPI) is 1225766504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Southers's specialty?
- Dominique Southers is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Dominique Southers located?
- Dominique Southers's practice location on file with NPPES is 1401 E 7th St, Charlotte, NC 28204-6300.
- What is Dominique Southers's phone number?
- The practice phone number listed in the NPPES registry for Dominique Southers is (704) 780-4271.
- Is Dominique Southers's NPI active?
- Yes — Dominique Southers's NPI (1225766504) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.