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GEOFFREY DOMINCZAK BCBA
NPI 1174068613
Behavior Analyst in Bingham Farms, MI

Active since December 19, 2016
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025(248) 712-4266 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2024, Oct 30, 2020, Oct 15, 2020 and 1 more (4 updates tracked since 2016).

About Geoffrey Dominczak Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEOFFREY DOMINCZAK BCBA (NPI 1174068613) is an individual behavior analyst provider in Bingham Farms, Michigan, licensed in Michigan (7401001279) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1174068613
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameGEOFFREY DOMINCZAKCredential: BCBA
Location Address32100 TELEGRAPH RD STE 205Bingham Farms, MI 48025-2454
Mailing Address32100 Telegraph Rd Ste 205Bingham Farms, MI 48025-2454 · (248) 712-4266
Phone(248) 712-4266
Sole ProprietorNo
Enumeration DateDecember 19, 2016
Last NPPES UpdateNovember 19, 20244 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1174068613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MI · 7401001279
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedTechnician, OtherTaxonomy 247200000X
32100 TELEGRAPH RD STE 205, Bingham Farms, MI 48025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA L LAKE
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
SOPHIA MAURER
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
DANIELLE LAMBERT CLARAHAN MA, BCBA
Behavior Analyst
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
SYEDA LEZA
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
YASMEEN WOOTEN
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
MS. KENYA MARIE BARKSDALE
Student in an Organized Health Care Education/Training Program
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
CANDICE EVE POTTS
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
ADELA SERIFOVIC
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geoffrey Dominczak's NPI number?

The NPI number for Geoffrey Dominczak is 1174068613. It was assigned to this individual provider in the NPPES registry on December 19, 2016.

Where is Geoffrey Dominczak located?

Geoffrey Dominczak practices at 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025. The listed phone number is (248) 712-4266.

What is Geoffrey Dominczak's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Geoffrey Dominczak accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and Providence Health Plan and 1 other insurer list Geoffrey Dominczak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geoffrey Dominczak was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.