Aspen Jerrykah Deherrera

Individual provider Active NPI Behavior Technician · Plainview, TX

NPI 1053240366 · NPPES record last updated May 14, 2026

Key facts

NPI
1053240366
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
706 Lexington St Apt B
Plainview, TX 79072-7772
Phone
(505) 929-2468
NPI assigned
May 14, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NM Yes

Addresses

Primary practice location

706 Lexington St Apt B
Plainview, TX 79072-7772

Mailing address

945 N Central Ave
Woodmere, NY 11598-1604

Other providers in Plainview, TX

All providers in Plainview, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.