Bereniz Dominguez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6622 N Maroa Ave
Fresno, CA 93704-1209

Phone

(559) 575-8172

NPI assigned

Mar 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1669222709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N MAROA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041209",
            "telephone_number": "559-575-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 N MAROA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041209",
            "telephone_number": "559-575-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "BERENIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analiese Meg Domingos, LCSW
• Jessica Dominguez de la Rosa, MD, MPH
• Araceli Dominguez Mijangos
• Priscilla Dominguez-Mucciaccio, I.M.F.
• Adriana Dominguez-Sharette, MSW
• Brenda Liliana Dominguez
• Caussaundra Maria Dominguez
• Crystal Rose Dominguez
• Josceline Clarissa Dominguez, HS
• Jose Dominguez

• Behavior Technician in Fresno, CA
• Providers in Fresno, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.