Darian Dickerson
Individual provider Active NPI Behavior Technician · American Canyon, CA
NPI 1457946014 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1457946014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-21-153936
- Practice address
- 120 Theresa Ave
American Canyon, CA 94503-9654 - Phone
- (170) 756-1060
- NPI assigned
- Mar 5, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGrew Behavioral Health Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-153936 | Yes |
Addresses
Primary practice location
120 Theresa Ave
American Canyon, CA 94503-9654
Mailing address
120 Theresa Ave
American Canyon, CA 94503-9654
Phone (170) 756-1060
Other providers in American Canyon, CA
- Cedric Taron Davis Jr.
- Michelle Lynette Davis
- Jessica Delgado
- Nia Deocampo
- Harpreet Kaur Deol
- Melissa Ann Dingler
- Allison Domingo
- Sean Donohoe
- Edmund Perez Dumaguin
- Jaybee Dumaguin
All providers in American Canyon, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. 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.