Geoffrey Dominczak, BCBA
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2016
- Practice address
- 5258 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525
- Practice phone
- Call (616) 466-4068
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Mitten State Pediatric Therapy
Therapy Group Practice · Grand Rapids, Michigan
Find Geoffrey Dominczak's professional email, personal email and mobile number
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Geoffrey Dominczak is a behavior analyst in Grand Rapids, Michigan
Geoffrey Dominczak practices at Mitten State Pediatric Therapy in Grand Rapids, Michigan.
Geoffrey Dominczak's NPI, 1174068613, was assigned on December 19, 2016. Geoffrey Dominczak holds Michigan license 7401001279.
- NPI
- 1174068613NPI Registry (opens in a new tab)
- NPI enumeration date
- December 19, 2016
- NPI status
- Active
- Practice phone
- (616) 466-4068
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Geoffrey Dominczak practices at Mitten State Pediatric Therapy in Grand Rapids, Michigan
Geoffrey Dominczak's primary practice is Mitten State Pediatric Therapy, at 5258 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525. The practice phone is (616) 466-4068.
- Mitten State Pediatric Therapy5258 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525Phone(616) 466-4068
Source: Dmand AI Affiliation Data
Geoffrey Dominczak is affiliated with 1 site of care
Geoffrey Dominczak's primary practice is Mitten State Pediatric Therapy in Grand Rapids, Michigan.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Geoffrey Dominczak's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Geoffrey Dominczak practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Mitten State Pediatric Therapy | Available with a free account |
Source: Dmand AI Technology Install Data
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Geoffrey Dominczak is one of 446 behavior analysts in Michigan
Behavior analyst is Geoffrey Dominczak's primary specialty in the NPI Registry, under taxonomy code 103K00000X. Geoffrey Dominczak is licensed in Michigan.
Specialties and state licenses
- Behavior analyst, MichiganPrimary
Behavior analysts near Geoffrey Dominczak
Counts of behavior analysts with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Geoffrey Dominczak's patients have a median age of 5
Across all payers, Dmand AI patient panel data puts Geoffrey Dominczak's median patient age at 5, with 0% women.
Geoffrey Dominczak's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 5
Patient panel by sex, all payers
- Women0%
- Men100%
Source: Dmand AI Patient Panel Data
Sources for Geoffrey Dominczak's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Geoffrey Dominczak
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What is Geoffrey Dominczak's NPI number?
Geoffrey Dominczak's NPI number is 1174068613. It was assigned on December 19, 2016, and it is active in the NPI Registry.
What does Geoffrey Dominczak specialize in?
Geoffrey Dominczak is a behavior analyst in Grand Rapids, Michigan. The primary specialty in the NPI Registry is Behavior Analyst (taxonomy code 103K00000X).
Where does Geoffrey Dominczak practice?
Geoffrey Dominczak practices at 5258 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525. Geoffrey Dominczak's primary practice is Mitten State Pediatric Therapy in Grand Rapids, Michigan.
What is Geoffrey Dominczak's office phone number?
The practice phone on file for Geoffrey Dominczak is (616) 466-4068.
What is Geoffrey Dominczak's medical license number?
Geoffrey Dominczak holds Michigan license 7401001279, one of 2 state licenses on file.
How long has Geoffrey Dominczak been practicing?
Geoffrey Dominczak's NPI was assigned in 2016.
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