Healthcare Provider Details

I. General information

NPI: 1487294732
Provider Name (Legal Business Name): DOMINIQUE GAINER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 SHARON PARK LN STE 150
CINCINNATI OH
45241-4171
US

IV. Provider business mailing address

2733 E 12TH ST STE C2
BROOKLYN NY
11235-4672
US

V. Phone/Fax

Practice location:
  • Phone: 248-846-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-61379
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: