Mari'Yell Declouette-Sanders

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4717 E McDowell Rd
Phoenix, AZ 85008-4544

Phone

(602) 472-3085

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1073397675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 ADAVAN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493966",
            "telephone_number": "725-267-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084544",
            "telephone_number": "602-472-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLOUETTE-SANDERS",
        "first_name": "MARI'YELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Decker, NP
• Lanny Aven Decker, D.C.
• Madison Decker, M.S. CCC-SLP
• Yvette Jean Decker
• Nadia Lupe Declay, RN
• Dustin Anthony Dedecker, RPH
• Dedicated Dragonfly Therapy, LLC
• Dedicated Onsite Therapy LLC
• Dedicated Recovery and Counseling LLC
• Dedicated Therapy Services LLC

• Behavior Technician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.