Dominique Michellee Rougeau, MA, BCBA, LBA is a
Behavior Analyst based in Lake Charles, Louisiana. Dominique Michellee Rougeau is licensed to practice in Louisiana (license number L-344) and her current practice location is
1905 Tybee Ln, Lake Charles, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 240-8162.
NPI number for Dominique Michellee Rougeau is 1790259463 and her current mailing address is 18840 Nw Rock Creek Cir Apt 285, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790259463.
Healthcare Provider's Profile
Full Name | Dominique Michellee Rougeau |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 1905 Tybee Ln, Lake Charles, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790259463
- Provider Enumeration Date: 01/16/2019
- Last Update Date: 05/08/2025
Medical Identifiers
Medical identifiers for Dominique Michellee Rougeau such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790259463 | NPI | - | NPPES |
3647681 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | L-344 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Michellee Rougeau is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dominique Michellee Rougeau, MA, BCBA, LBA 18840 Nw Rock Creek Cir Apt 285, Portland, OR 97229-7204 Ph: (337) 292-5906 | Dominique Michellee Rougeau, MA, BCBA, LBA 1905 Tybee Ln, Lake Charles, LA 70605-4172 Ph: (337) 240-8162 |
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