Individual provider Active NPI

Azucena Dominguez

  • Behavior Analyst
  • Denver, CO
National Provider Identifier
1568337236
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
9101 E Kenyon Ave Ste 3200
Denver, CO 80237-1855
Phone
(720) 961-3764
NPI assigned
Oct 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CO Primary

Addresses

Primary practice location

9101 E Kenyon Ave Ste 3200
Denver, CO 80237-1855

Mailing address

9101 E Kenyon Ave
Suite 3200
Denver, CO 80237
Phone (970) 343-6717

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

OrganizationSpecialtyStatusNew patients
Autism Behavioral Ventures LLC Behavior Analyst CurrentSince Oct 12, 2025 Accepting new patients
Autism Behavioral Ventures LLC Behavior Analyst PastSince Oct 12, 2025 Accepting new patients

Locations

9101 E Kenyon Ave
Ste 3200
Denver, CO 80237
Phone (720) 583-4553

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1568337236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 E KENYON AVE",
            "address_2": "SUITE 3200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80237",
            "telephone_number": "970-343-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 E KENYON AVE STE 3200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371855",
            "telephone_number": "720-961-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "AZUCENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.