IndividualActive
Stacey Dominy, MA
NPI 1902240864 · Behavior Analyst · Daytona Beach Shores, FL
Provider details
- NPI number
- 1902240864
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-17-26955 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3408 S Atlantic Ave
Daytona Beach Shores, FL 32118-6311
Phone: (386) 767-3752
Fax: (386) 767-4319
Street-level locationGet directions
Mailing address
1901 Eden Dr
Deltona, FL 32725-3749
Registry dates
- Enumerated
- 2013-04-23
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.