IndividualActive
Nicole Domachowski, BCBA
NPI 1508440801 · Behavior Analyst · Saint Louis, MO
Nicole Domachowski, BCBA is a Behavior Analyst provider in Saint Louis, MO (NPI 1508440801).
Provider details
- NPI number
- 1508440801
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 2021014350 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
12110 Clayton Rd
Saint Louis, MO 63131-2516
Phone: (314) 989-6150
Street-level locationGet directions
Mailing address
12110 Clayton Rd
Saint Louis, MO 63131-2516
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Frequently asked questions
- What is Nicole Domachowski's NPI number?
- Nicole Domachowski's National Provider Identifier (NPI) is 1508440801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Domachowski's specialty?
- Nicole Domachowski is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Nicole Domachowski located?
- Nicole Domachowski's practice location on file with NPPES is 12110 Clayton Rd, Saint Louis, MO 63131-2516.
- What is Nicole Domachowski's phone number?
- The practice phone number listed in the NPPES registry for Nicole Domachowski is (314) 989-6150.
- Is Nicole Domachowski's NPI active?
- Yes — Nicole Domachowski's NPI (1508440801) is active in the NPPES registry as of the last update on 2021-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.