MARY DOMINGUEZ
NPI 1801356563
Behavior Analyst in Cromwell, CT

Q: What is Mary Dominguez's NPI number?

The NPI number for Mary Dominguez is 1801356563. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Mary 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 Mary Dominguez was last updated on December 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2019

110 COURT ST STE 3, CROMWELL, CT 06416(860) 613-9930 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 26, 2024, Mar 20, 2019 (2 updates tracked since 2019).

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About Mary Dominguez NPPES

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

MARY DOMINGUEZ (NPI 1801356563) is an individual behavior analyst provider in Cromwell, Connecticut, licensed in (1-18-32863) and active in the NPI registry since March 2019. She maintains a secondary practice location in Sandy Hook.

NPPES Registry Identity

NPI1801356563

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMARY DOMINGUEZ

Location Address110 COURT ST STE 3Cromwell, CT 06416-1273

Mailing Address113 Mill Plain Rd # 1018Danbury, CT 06811-5277 · (203) 213-3108

Phone(860) 613-9930

Sole ProprietorNo

Enumeration DateMarch 20, 2019

Last NPPES UpdateDecember 26, 20242 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1801356563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed · 1-18-32863

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.

110 COURT ST STE 3, Cromwell, CT 06416

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Secondary Practice Location 1

Location 19 Farm Field Ridge RdSandy Hook, CT 06482-1080 · Phone (203) 213-3108

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 LIBERATORE MSED, BCBA

Behavior Analyst