Kali Dominguez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

185 NE Snohomish Ave Unit 724
White Salmon, WA 98672-0160

Phone

(509) 396-6592

NPI assigned

May 22, 2019

Last updated

Apr 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia River Gorge Behavior Services, LLC

  dba Gorge Behavior Solutions

  • Behavior Analyst
  • White Salmon, WA
  • NPI 1154835841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1467019760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 NE SNOHOMISH AVE UNIT 724",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720160",
            "telephone_number": "509-396-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "KALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60845311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lafollette Curry
• Kyle G Davis, RPH
• Sandra De'Ak, LMT
• Candace L Didier, MS
• Erica Didier, MD
• Aaron A Edwards
• Travis C Everett, MD
• Christopher Faison, M.D.
• Jeanette M Fentie, L.AC.
• Raymond John Fitzsimmons, MD

• Behavior Analyst in White Salmon, WA
• Providers in White Salmon, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.