What is Dominique Waller's NPI number?

Dominique Waller's National Provider Identifier (NPI) is 1790529568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dominique Waller's specialty?

Dominique Waller is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Dominique Waller located?

Dominique Waller's practice location on file with NPPES is 214 Westside Blvd, Roanoke, VA 24017.

What is Dominique Waller's phone number?

The practice phone number listed in the NPPES registry for Dominique Waller is (540) 278-9002.

Is Dominique Waller's NPI active?

Yes — Dominique Waller's NPI (1790529568) is active in the NPPES registry as of the last update on 2024-06-25.

IndividualActive

Dominique Waller

NPI 1790529568 · Behavior Technician · Roanoke, VA

Dominique Waller is a Behavior Technician provider in Roanoke, VA (NPI 1790529568).

Provider details

NPI number: 1790529568
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No
License: RBT-23-281401 (VA)

Specialties & taxonomies

Behavior TechnicianPrimary106S00000XLicense RBT-23-281401 (VA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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

214 Westside Blvd

Apt. 6

Roanoke, VA 24017

Phone: (540) 278-9002

Street-level locationGet directions

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Mailing address