Individual provider Active NPI

Derek Dunn Manelski

  • Behavior Technician
  • Plano, TX
National Provider Identifier
1073420741
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5160 Village Creek Dr Ste 200
Plano, TX 75093-4423
Phone
(469) 825-4652
NPI assigned
Aug 26, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5160 Village Creek Dr Ste 200
Plano, TX 75093-4423

Mailing address

966 Royal Marco Way
Marco Islan, FL 34145
Phone (469) 825-4652

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1073420741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 ROYAL MARCO WAY",
            "city": "MARCO ISLAN",
            "state": "FL",
            "postal_code": "34145",
            "telephone_number": "469-825-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 VILLAGE CREEK DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934423",
            "telephone_number": "469-825-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANELSKI",
        "first_name": "DEREK",
        "middle_name": "DUNN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.