Sarah Anne Dominguez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

ABA-IN-10253168 Issued in OR

Practice address

1827 NE 44TH Ave Ste 390
Portland, OR 97213-1461

Phone

(503) 963-6494

Fax

(310) 933-4134

NPI assigned

Mar 28, 2023

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

State licenses

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1952005522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19839 HIGHWAY 213 APT 1046",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457976",
            "telephone_number": "530-602-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131461",
            "telephone_number": "503-963-6494",
            "fax_number": "310-933-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "ABA-IN-10253168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberato A Domingo, BSN
• Melba Domingo, CEO
• Flora Dominguez Zarate, THW DOULA
• Roman Dominguez-Soto
• Joanne Elizabeth Dominguez
• Christopher Anthony Dominic, DC
• Antonio Dominovic, R.T.(R)(CT)(ARRT)
• Mary Ann Penny Domm, D.C.
• Diana Domnitei, MD
• Jordyn Domogalla

• Behavior Technician in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.