Provider Demographics
NPI:1023711108
Name:CADET-TARPLEY, DOMINIQUE LEA (BCBA)
Entity type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:LEA
Last Name:CADET-TARPLEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 BEETHOVEN ST STE 155
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-7067
Mailing Address - Country:US
Mailing Address - Phone:978-314-3844
Mailing Address - Fax:
Practice Address - Street 1:5301 BEETHOVEN ST STE 155
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-7067
Practice Address - Country:US
Practice Address - Phone:978-314-3844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-23-64757103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst