Nancy Cardoso Dominesey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

19106777 Issued in HI

Practice address

91-2220 Kaiwawalo St Unit 1306
Ewa Beach, HI 96706-6551

Phone

(540) 645-9541

NPI assigned

Nov 8, 2022

Last updated

Nov 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1649988668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2220 KAIWAWALO ST UNIT 1306",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066551",
            "telephone_number": "540-645-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2220 KAIWAWALO ST UNIT 1306",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066551",
            "telephone_number": "540-645-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINESEY",
        "first_name": "NANCY",
        "middle_name": "CARDOSO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "19106777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Agbayani Diga
• Leticia Garcia Diniega, MD
• Jamay Patricia Dizon, LPN, RBT
• Yongsok DO, D.M.D
• Angela Doi
• Alexis Michaela Ednilao Domingo, ATC
• Myra Krizzha Mae Ribao Domingo, RN
• Samira Domingo, RN, CLC
• Sean Akira Endo Domingo, PHARMD
• Deborah Rhea Dominici, RN, IBCLC

• Behavior Technician in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.