MEDICARE: DOMINIQUE YVETTE COLBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1225826209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOMINIQUE YVETTE COLBERT

Provider Business Mailing Address
First Line	:	7021 W MCDOWELL RD APT 231
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85035-4676
Country	:	US
Telephone Number	:	480-670-7905
Fax Number	:

Provider Business Practice Location Address
First Line	:	7021 W MCDOWELL RD APT 231
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85035-4676
Country	:	US
Telephone Number	:	480-670-7905
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

Similar Medicare Providers

1457885006 — MISS ELLEN DEHNERT M.S., CCC-SLP
Practice Location Address:

3845 E GREENWAY RD UNIT 118
PHOENIX, AZ
85032-4676

Practice Phone: 928-301-1936
Practice Fax:

1083262331 — JOSEY SIMON SLP
Practice Location Address:

1333 N 24TH ST APT 243
PHOENIX, AZ
85008-4676

Practice Phone: 224-504-9153
Practice Fax:

1396748976 — DR. KRIS MORSHEDIAN M.D.
Practice Location Address:

4901 W MCDOWELL RD.,
PHOENIX, AZ
85035

Practice Phone: 623-849-9088
Practice Fax: 623-849-9065

1588667109 — DR. GEORGETTA BIDWELL M.D.
Practice Location Address:

4901 W. MCDOWELL RD
PHOENIX, AZ
85035-0000

Practice Phone: 623-849-9088
Practice Fax: 623-849-7875

1518964782 — MS. JONI SUZANNE LYDIC F.N.P.
Practice Location Address:

2302 N 75TH AVE
PHOENIX, AZ
85035-1216

Practice Phone: 623-849-7500
Practice Fax: 623-849-7588

1053310599 — MARK DANIEL FRIEDMAN MD
Practice Location Address:

2330 N 75TH AVE , SUITE 108
PHOENIX, AZ
85035-1200

Practice Phone: 623-247-5700
Practice Fax:

Directions to “ DOMINIQUE YVETTE COLBERT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.