Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Buenavides

Individual provider Occupational Therapy Assistant · NPI 1912341421

Dominique Buenavides is an Occupational Therapy Assistant in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013

Practice location Address checks out

3150 N Winding Brook Rd
Flagstaff, AZ 86001-0972
Phone: (928) 774-7106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5102 (AZ)

Record details

NPI number1912341421
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2013
Last updated in NPPESApril 26, 2013
Mailing address800 W Forest Meadows St Apt 121, Flagstaff, AZ 86001-2903

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