Active NPI
Yessenia Dominguez- Perea
- Behavior Technician
- Santa Fe, NM
National Provider Identifier
1457095028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4001 Office Court Dr Ste 705-707
Santa Fe, NM 87507-4929 - Phone
- (505) 395-9611
- NPI assigned
- Apr 20, 2022
- 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 Technician | 106S00000X | NM | Primary |
Addresses
Primary practice location
4001 Office Court Dr Ste 705-707
Santa Fe, NM 87507-4929
Mailing address
5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
Phone (469) 694-1754
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Autism & Related Disorders, LLC | Current | Accepting new patients |
Locations
5850 Granite Pkwy
Ste 600
Plano, TX 75024
Phone (442) 325-3819
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Peachtree City, GA
- NPI 1689320814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1457095028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 GRANITE PKWY STE 600",
"city": "PLANO",
"state": "TX",
"postal_code": "750246753",
"telephone_number": "469-694-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 OFFICE COURT DR STE 705-707",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074929",
"telephone_number": "505-395-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ- PEREA",
"first_name": "YESSENIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.