Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063028264 Individual Practitioner Female Practitioner

Maddisen Domingo , BCBA

Behavior Analyst • Honolulu, HI

Professional Overview & Biography Verified Profile Summary

Maddisen Domingo, BCBA is a registered healthcare professional specializing in Behavior Analyst in Honolulu, HI. Practice services are available at 200 N VINEYARD BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 N Vineyard Blvd

Honolulu, HI 968173950

Telephone 8085361015
Associated Practice Facility / Clinic
🏢 Easter Seals Hawaii Facility NPI 1043604853

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Honolulu, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
377 Specialists

Practicing in Honolulu, HI (924 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-23
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License HI 423

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
820185 (HI)

Secondary Practice Locations

41 E Lipoa St

Kihei, HI 967538148

Phone: 8087932005

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Jodi Trujillo

Behavior Technician

NPI 1003462219
NPI 1013526664

Doctor of Philosophy (Ph.D.), Licensed Psychologist, Board Certified Behavior Analyst, Licensed Behavior Analyst

Danielle Cunningham

Behavior Technician

NPI 1053147173
Rukako Dennison

Community Health Worker

NPI 1083268759
Christine Caraang

Community Health Worker

NPI 1104470871
Arianna Membrere

Behavior Technician

NPI 1114760006

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 23, 2024

Registered at 200 N VINEYARD BLVD, HONOLULU, HI 968173950 (Tel: 8085361015)

📍
Updated Business Mailing Address January 23, 2024

Registered at 2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 945982538

📍
Updated Practice Location December 27, 2023

Registered at 1670 MAKALOA ST STE 204-125, HONOLULU, HI 968143232 (Tel: 8008285659)

📍
Updated Practice Location August 17, 2023

Registered at 41 E LIPOA ST, KIHEI, HI 967538148 (Tel: 8087932005)

📍
Updated Business Mailing Address August 17, 2023

Registered at 2154 ALUNA ST APT B, KIHEI, HI 967537192

NPI Profile Active September 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2020

Registered at 400 ALA MAKANI ST, KAHULUI, HI 967323533 (Tel: 8087932005)

📍
Updated Business Mailing Address September 22, 2020

Registered at 443 COPP RD, KULA, HI 967907947

👤
Provider Name / Credentials Updated September 22, 2020

Recorded as MADDISEN DOMINGO, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2020

Behavior Analyst (License #423 in HI)

🟢
Initial NPI Registration & Enumeration September 22, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063028264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2020
Last Update: January 23, 2024
Sole Proprietor: No

Mailing Address

2730 Shadelands Dr Bldg 10

Walnut Creek, CA 945982538

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.