Derek Barrows

Individual provider Active NPI Behavior Analyst · Williston, VT

NPI 1871965152 · NPPES record last updated Oct 26, 2015

Key facts

NPI
1871965152
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
0-15-6551 (VT)
Practice address
37 Talcott Rd
Suite 114
Williston, VT 05495-2094
Phone
(802) 662-7831
NPI assigned
Oct 26, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
SD Associates, LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-15-6551 VT Yes

Addresses

Primary practice location

37 Talcott Rd
Suite 114
Williston, VT 05495-2094

Mailing address

37 Talcott Rd
Suite 114
Williston, VT 05495-2094

Other providers in Williston, VT

All providers in Williston, VT · Behavior Analyst in Vermont

Sources for this page

Verify at the official NPI Registry.