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

Jacquie Dominguez

Individual provider Behavior Technician · NPI 1962003137

Jacquie Dominguez is a Behavior Technician in Kentwood, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3361 36th St SE
Kentwood, MI 49512-2809
Phone: (424) 374-6928
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1962003137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address3361 36th St Se, Kentwood, MI 49512-2809

Other providers in Kentwood