DEREK BLAKE CHARLES
NPI 1073380481
Behavior Technician in Palm Coast, FL

Active since December 06, 2023
18 PRINCE KAAREL LN, PALM COAST, FL 32164(606) 213-2755 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Blake Charles NPPES

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

DEREK BLAKE CHARLES (NPI 1073380481) is an individual behavior technician in Palm Coast, Florida and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1073380481
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameDEREK BLAKE CHARLES
Location Address18 PRINCE KAAREL LNPalm Coast, FL 32164-7156
Mailing Address23 Rybar LnPalm Coast, FL 32164-6445
Sole ProprietorYes
Enumeration DateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
NPI 1073380481 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.
18 PRINCE KAAREL LN, Palm Coast, FL 32164

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 Derek Charles's NPI number?

The NPI number for Derek Charles is 1073380481. It was assigned to this individual provider in the NPPES registry on December 6, 2023.

Where is Derek Charles located?

Derek Charles practices at 18 Prince Kaarel Ln, Palm Coast, FL 32164. The listed phone number is (606) 213-2755.

What is Derek Charles'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 Derek Charles was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.