DAVID DOMINGUEZ (NPI# 1467953117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467953117 |
| Entity Type | Individual |
| Full Name | DAVID DOMINGUEZ |
| Practice Address |
25115 Avenue Stanford Ste 100 Valencia CA 91355-4791 |
| Mailing Address |
206 N Jackson St Ste 202 Glendale CA 91206-4330 |
| Practice Telephone | 8182416780 |
| Practice Fax Number | 8182416853 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935989 | David Dominguez | Dentist | 201 N Constitution Dr # 1, Aurora, IL 60506-3214 | 2017-07-23 |
| 1467694521 | David E. Dominguez | Orthopaedic Surgery | 141 Coconut Dr, Indialantic, FL 32903-2607 | 2009-04-03 |
| 1518923259 | David Y Dominguez | Pediatrics | 465 Waverley Oaks Rd Ste 100, Waltham, MA 02452-8484 | 2006-04-21 |
| 1205257763 | David Dominguez | Physician Assistant | 4502 Medical Dr, San Antonio, TX 78229 | 2013-12-30 |
| 1356422521 | David Alan Dominguez | Physician Assistant | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 | 2006-10-17 |
| 1649360512 | David C. Dominguez | Emergency Medicine | Unm Department of Emergency Medicine Msc10, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-10-13 |
| 1689772469 | David Anthony Dominguez | Nurse Practitioner | 814 Caroline Ave, Junction City, KS 66441-5210 | 2006-09-20 |
| 1780794917 | David Jaime Dominguez | Dentist | 17240 Mill Forest Rd, Ste A, Webster, TX 77598 | 2006-08-30 |
| 1366451122 | David Dominguez | Family Medicine | 1021 Silver Bluff Rd, Aiken, SC 29803 | 2006-08-07 |
| Street Address |
25115 AVENUE STANFORD STE 100 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-4791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912020926 | Julian V Ufano-leon | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2007-04-06 |
| 1659981991 | Samira Madoo | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2020-08-02 |
| 1548808967 | Cassandra Gallegos | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-12-16 |
| 1013552033 | Rhonda Francine Johnson | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-11-13 |
| 1497306922 | Justine Alexandra Wilm | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-09-25 |
| 1831747740 | Poornashri Manoharan | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-09-04 |
| 1487201216 | Jenefer Anumba | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-08-26 |
| 1972150753 | Aileen Duran | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-08-26 |
| 1629625421 | Anai Pineda | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-08-26 |
| 1386290047 | Tiffanie Renee Runnels | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127890 | Simone Hutchinson | Behavior Technician | 25115 Avenue Stanford Ste A1000, Valencia, CA 91355-1290 | 2020-08-31 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1477109213 | Kimberly Martinez | Behavior Technician | 23453 Lyons Ave, Valencia, CA 91355-3028 | 2019-08-16 |
| 1821644584 | Amanda L Niit | Behavior Technician | 25115 Avenue Stanford Ste A-100, Valencia, CA 91355-1290 | 2019-08-16 |
| 1144876525 | Francesca Yario | Behavior Technician | 25115 Avenue Stanford # A100, Valencia, CA 91355-1290 | 2019-08-12 |
| 1487200010 | Kimberly Xiomara Aguirre | Behavior Technician | 25115 Avenue Stanford Ste 100a, Valencia, CA 91355-1290 | 2019-08-09 |
| 1194370056 | Melany Morshedian | Behavior Technician | 25115 Avenue Stanford Unit A100, Valencia, CA 91355-1290 | 2019-08-07 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in VALENCIA | ||||
Please comment or provide details below to improve the information on DAVID DOMINGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.