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

Geoffrey Dominczak, BCBA

Individual provider Behavior Analyst · NPI 1174068613

Geoffrey Dominczak, BCBA is a Behavior Analyst in Bingham Farms, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
4
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Phone: (248) 712-4266
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401001279 (MI)
Mental Health Counselor Taxonomy 101YM0800X
Behavior Analyst Taxonomy 103K00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1174068613
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedDecember 19, 2016
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454

Other providers in Bingham Farms