IndividualActive
Jennifer Dominick, MPA, BSL
NPI 1831697382 · Behavior Analyst · Exeter, PA
Provider details
- NPI number
- 1831697382
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- MPA, BSL
- Sex
- Female
- Sole proprietor
- No
- License
- BH001760 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1122 Wyoming Ave
Exeter, PA 18643-1918
Phone: (570) 655-1667
Approximate (ZIP-level) locationGet directions
Mailing address
207 E 8th St
Wyoming, PA 18644-2040
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2018-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.