Active NPI
Angelina Domoe, BCBA
- Behavior Analyst
- Elk Grove, CA
National Provider Identifier
1013437847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476 - Phone
- (916) 683-1109
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476
Mailing address
360 Union Blvd # 300
Lakewood, CO 80228-1503
Other practice location 1
9260 Marketplace Dr
Miamisburg, OH 45342-4478
Phone (937) 388-5110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1013437847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 UNION BLVD # 300",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9355 E STOCKTON BLVD STE 100",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956249476",
"telephone_number": "916-683-1109"
}
],
"practiceLocations": [
{
"address_1": "9260 Marketplace Dr",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453424478",
"country_code": "US",
"telephone_number": "937-388-5110",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMOE",
"first_name": "ANGELINA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.