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FREDERICK NICHOLAS DEROSE
NPI 1063901981
Behavior Technician in Dearborn, MI

Active since May 07, 2018
1360 PORTER ST, DEARBORN, MI 48124(313) 689-5188 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frederick Nicholas Derose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK NICHOLAS DEROSE (NPI 1063901981) is an individual behavior technician in Dearborn, Michigan and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1063901981
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameFREDERICK NICHOLAS DEROSE
Location Address1360 PORTER STDearborn, MI 48124-2890
Mailing Address1360 Porter StDearborn, MI 48124-2890 · (313) 689-5188
Phone(313) 689-5188
Sole ProprietorNo
Enumeration DateMay 7, 2018
✔ NPI 1063901981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

1360 PORTER ST, Dearborn, MI 48124
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GHADEER ANKOUNI
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
ANGILA PATRICE MAYFIELD
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
HIND OBAD AHMED
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
MAYA MARIE JACOB
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
GAIL ANN LEE
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (734) 680-2351
DESTINY MANWELL
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
ANDRE D MORGAN
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
NOAH NICHOLAS BEAUDRIE
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Derose's NPI number?

The NPI number for Frederick Derose is 1063901981. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Frederick Derose located?

Frederick Derose practices at 1360 Porter St, Dearborn, MI 48124. The listed phone number is (313) 689-5188.

What is Frederick Derose's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Frederick Derose was last updated on May 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.