JENE DOMINGUEZ MS
NPI 1720508807
Behavior Analyst in Needham Heights, MA

Q: What is Jene Dominguez's NPI number?

The NPI number for Jene Dominguez is 1720508807. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Jene Dominguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jene Dominguez was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since June 21, 2017

145 ROSEMARY ST STE K1, NEEDHAM HEIGHTS, MA 02494(781) 400-2482(317) 288-3396 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2022, Mar 17, 2018, Jun 21, 2017 (3 updates tracked since 2017).

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About Jene Dominguez Ms NPPES

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

JENE DOMINGUEZ MS (NPI 1720508807) is an individual behavior analyst provider in Needham Heights, Massachusetts, licensed in Texas (3536) and active in the NPI registry since June 2017. She maintains a secondary practice location in Randolph.

NPPES Registry Identity

NPI1720508807

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJENE DOMINGUEZCredential: MS

Location Address145 ROSEMARY ST STE K1Needham Heights, MA 02494-3259

Mailing Address1025 E 54th StIndianapolis, IN 46220-3219 · (317) 584-5166 · Fax (317) 288-3396

Phone(781) 400-2482

Fax(317) 288-3396

Sole ProprietorNo

Enumeration DateJune 21, 2017

Last NPPES UpdateApril 26, 20223 updates tracked since enumeration

NPPES CertifiedApril 26, 2022

✔ NPI 1720508807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in TX · 3536

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 ListedBehavior TechnicianTaxonomy 106S00000X

145 ROSEMARY ST STE K1, Needham Heights, MA 02494

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Secondary Practice Location 1

Location 115 Pacella Park Dr Ste 210Randolph, MA 02368-1700 · Phone (781) 885-1970 · Fax (317) 288-3396

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Medica, WellPoint.Insurance ›

Other Providers at the Same Location NPPES 12

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

SHANE COSTA

Behavior Technician