Geoffrey Dominczak, BCBA
NPI 1174068613ActiveIndividual· Behavior Analyst· Bingham Farms, MI
Behavior Analyst (BCBA) in Bingham Farms, Michigan, licensed in MI, with an NPI issued in December 2016.
Overview
| NPI | 1174068613 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BCBA |
| Sole proprietor | No |
| NPI issued | Dec 19, 2016 |
| Last updated in NPPES | Nov 19, 2024 |
| Certified by provider | Nov 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 7401001279 | MI |
| Counselor, Mental Health | 101YM0800X | — | — |
| Behavior Analyst | 103K00000X | — | — |
| Technician, Other | 247200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 126 behavior analysts in Bingham Farms · All behavior analysts in Michigan