Active NPI
Derwin Gerod Fair Jr.
- Behavior Technician
- Boca Raton, FL
National Provider Identifier
1548170657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-26-548455
- Practice address
- 7301 W Palmetto Park Rd FL 33433a
Boca Raton, FL 33433-3458 - Phone
- (954) 248-1171
- NPI assigned
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-26-548455 | FL | Primary |
Addresses
Primary practice location
7301 W Palmetto Park Rd FL 33433a
Boca Raton, FL 33433-3458
Mailing address
4441 NW 70TH Ave
Lauderhill, FL 33319-4042
Phone (754) 215-5814
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": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1548170657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 NW 70TH AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333194042",
"telephone_number": "754-215-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 W PALMETTO PARK RD FL 33433A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333458",
"telephone_number": "954-248-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "DERWIN",
"middle_name": "GEROD",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-26-548455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.