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Deactivated NPI 1134608383 Deactivated / Inactive NPI Female Practitioner

Mary Ann Terrado Dominguez

Behavior Analyst • Richmond, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Ann Dominguez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 08, 2018
NPI Deactivation Date November 13, 2020
Total Practice Duration ~2 Years of Practice (2018 – 2020)

Professional Overview & Biography Verified Profile Summary

Mary Ann Dominguez was a registered Behavior Analyst practicing in Richmond, CA. Throughout an active medical career spanning 2 years, Mary Ann Dominguez provided care at the practice location at 865 MARINA BAY PKWY STE 37 until profile deactivation on 2020-11-13.

Practice Location & Contact Primary Location

Practice Address

865 Marina Bay Pkwy Ste 37

Richmond, CA 948046426

Telephone 5104226311
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Richmond, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
35 Specialists

Practicing in Richmond, CA (20508 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Emmanuel Calica

Behavior Technician

NPI 1013418532
Marc Garcia

Behavior Analyst

NPI 1033769104
Maxwell Glanz

Behavior Analyst

NPI 1033784665
Erica Jones

Behavior Analyst

NPI 1043791486
Yolanda Manullang

Behavior Analyst

NPI 1043799299
Ruth Valdes

Behavior Technician

NPI 1043878531

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 13, 2020

Record deactivated on November 13, 2020

NPI Profile Active August 08, 2018

NPI status registered as active in NPPES database

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Updated Practice Location August 08, 2018

Registered at 865 MARINA BAY PKWY STE 37, RICHMOND, CA 948046426 (Tel: 5104226311)

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Updated Business Mailing Address August 08, 2018

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

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Provider Name / Credentials Updated August 08, 2018

Recorded as MARY ANN DOMINGUEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2018

Behavior Analyst

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Initial NPI Registration & Enumeration August 08, 2018

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: 1134608383
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2018
Last Update: August 08, 2018
Deactivation Date: November 13, 2020

Mailing Address

21600 Oxnard St Ste 1800

Woodland Hills, CA 913677807

Phone: 8183452345

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.