Derek Serrano

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

S652160994100 Issued in FL

Practice address

1375 Mountain Flower LN
Davenport, FL 33837-4231

Phone

(352) 777-3763

NPI assigned

Sep 15, 2025

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1104797034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 MOUNTAIN FLOWER LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338374231",
            "telephone_number": "352-777-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 MOUNTAIN FLOWER LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338374231",
            "telephone_number": "352-777-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "DEREK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "S652160994100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Sein
• Reza David Seirafi, MD FACS
• Farrah Sepehri, APRN
• Serenity Caregivers Services LLC
• Serenity First Home Care Services Inc
• Frida A Serrano
• Seven14 Logistics LLC
• Geisy Sevilla Bernal
• Dwayne Seymore
• SFP PC Holdings, Inc.

• Behavior Technician in Davenport, FL
• Providers in Davenport, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.