IndividualActive
Jacquie Dominguez
NPI 1962003137 · Behavior Technician · Kentwood, MI
Jacquie Dominguez is a Behavior Technician provider in Kentwood, MI (NPI 1962003137).
Provider details
- NPI number
- 1962003137
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3361 36th St Se
Kentwood, MI 49512-2809
Phone: (424) 374-6928
Street-level locationGet directions
Mailing address
3361 36th St Se
Kentwood, MI 49512-2809
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Frequently asked questions
- What is Jacquie Dominguez's NPI number?
- Jacquie Dominguez's National Provider Identifier (NPI) is 1962003137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquie Dominguez's specialty?
- Jacquie Dominguez is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jacquie Dominguez located?
- Jacquie Dominguez's practice location on file with NPPES is 3361 36th St Se, Kentwood, MI 49512-2809.
- What is Jacquie Dominguez's phone number?
- The practice phone number listed in the NPPES registry for Jacquie Dominguez is (424) 374-6928.
- Is Jacquie Dominguez's NPI active?
- Yes — Jacquie Dominguez's NPI (1962003137) is active in the NPPES registry as of the last update on 2020-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.