Individual provider Active NPI

Emely Lara-Dominguez

  • Behavior Technician
  • Lakewood, WA
National Provider Identifier
1730091588
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8811 S Tacoma Way Ste 204&206
Lakewood, WA 98499-4595
Phone
(253) 682-0320
NPI assigned
Sep 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

8811 S Tacoma Way Ste 204&206
Lakewood, WA 98499-4595

Mailing address

8811 S Tacoma Way Ste 204&206
Lakewood, WA 98499-4595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1730091588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY STE 204&206",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY STE 204&206",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595",
            "telephone_number": "253-682-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA-DOMINGUEZ",
        "first_name": "EMELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.