Jene Dominguez, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3536 Issued in TX

Practice address

145 Rosemary St Ste K1
Needham Heights, MA 02494-3259

Phone

(781) 400-2482

Fax

(317) 288-3396

NPI assigned

Jun 21, 2017

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Bierman ABA, Inc.

  • Occupational Therapist
  • Needham Heights, MA
  • NPI 1316464696
  NPD (past)
• Bierman ABA, Inc.

  • Developmental Disabilities Clinic/Center
  • Needham Heights, MA
  • NPI 1528500303
  NPD (past)
• Bierman ABA Inc.

  • Developmental Disabilities Clinic/Center
  • Westfield, IN
  • NPI 1114285855

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1720508807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E 54TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203219",
            "telephone_number": "317-584-5166",
            "fax_number": "317-288-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROSEMARY ST STE K1",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "024943259",
            "telephone_number": "781-400-2482",
            "fax_number": "317-288-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Pacella Park Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023681700",
            "country_code": "US",
            "telephone_number": "781-885-1970",
            "fax_number": "317-288-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JENE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Comtois, SLP
• Shane Costa
• Emily E Cox, BCBA
• Kathryn Davis, M.ED.
• Frances B Dines, LICSW
• Donna Behr Physical Therapy LLC
• Nichole Eustis
• Kerry Marie Wong Fike, MD
• Christina Gallagher
• Yaquexi Carolina Gonzalez Ortega, PHYSICAL THERAPIST

• Behavior Analyst in Needham Heights, MA
• Providers in Needham Heights, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.