Active NPIIndividual provider

Jene Dominguez, MS

Behavior Analyst in Needham Heights, Massachusetts

NPI Number1720508807
Practice location
145 Rosemary St Ste K1, Needham Heights, MA 02494-3259
Fax
317-288-3396
Last updated
April 26, 2022

Jene Dominguez is a Behavior Analyst based in Needham Heights, MA. Jene Dominguez practices in Needham Heights, MA and has the professional credentials of MS. The NPI Number for Jene Dominguez is 1720508807 and holds a License No. 3536 (TX). The current practice location address for Jene Dominguez is 145 Rosemary St Ste K1, Needham Heights, MA 02494-3259 and can be reached out via phone at 781-400-2482 and via fax at 317-288-3396.

Provider Profile Details

NPI Number
1720508807
Provider Name
Jene Dominguez
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
145 Rosemary St Ste K1, Needham Heights, MA 02494-3259
Phone Number
781-400-2482
Fax Number
317-288-3396
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2017
Last Update Date
April 26, 2022
Certification Date
April 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
145 Rosemary St Ste K1
Needham Heights, MA 02494-3259
Zip
02494-3259
Phone Number
781-400-2482
Fax Number
317-288-3396
Needham Heights, MA 02494Get directions →

Provider Business Mailing Address Details

Address
1025 E 54TH St
Indianapolis, IN 46220-3219
City
Indianapolis
State
IN
Zip
46220-3219
Phone Number
317-584-5166
Fax Number
317-288-3396

License Information

Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
3536
License State (2)
TX
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jene Dominguez, MS?

The NPI number of Jene Dominguez, MS is 1720508807. It was assigned on June 21, 2017 and is currently active in the NPPES registry.

What is the specialty of Jene Dominguez, MS?

Jene Dominguez, MS is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in TX under license number 3536.

Where does Jene Dominguez, MS practice?

The practice location is 145 Rosemary St Ste K1, Needham Heights, MA 02494-3259. The office can be reached at 781-400-2482 (phone) or 317-288-3396 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720508807 directly on the NPPES registry website.

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