Derek Dugan, RBT
Individual provider Active NPI Behavior Technician · Riverdale, UT
NPI 1386144459 · NPPES record last updated Feb 15, 2018
Key facts
- NPI
- 1386144459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4933 S 1500 W Ste 110
Riverdale, UT 84405-7738 - Phone
- (801) 820-6420
- NPI assigned
- Feb 15, 2018
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
4933 S 1500 W Ste 110
Riverdale, UT 84405-7738
Mailing address
1443 W 800 N Ste 103
Orem, UT 84057-2878
Phone (801) 655-4950
Other providers in Riverdale, UT
- Kari Deanne Dejuncker
- Zachary Diemel
- Alexia Donigan
- Luke Doxey
- Todd Thomas Doxey
- McKinley Lynn Duncan
- Sarah Durbano
- Alex Eddy
- Kelly Ensign Ehlers
- Elevation Physical Therapy
All providers in Riverdale, UT · Behavior Technician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.