EVAN DITTRICH
NPI 1114543592
Behavior Technician in Glendale, AZ

Active since June 22, 2020
5859 W TALAVI BLVD STE 180, GLENDALE, AZ 85306(602) 560-2836(317) 520-8200 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evan Dittrich NPPES

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

EVAN DITTRICH (NPI 1114543592) is an individual behavior technician in Glendale, Arizona, licensed in Arizona (RBT-19-109460) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1114543592
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameEVAN DITTRICH
Location Address5859 W TALAVI BLVD STE 180Glendale, AZ 85306-1873
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateJune 22, 2020
NPPES CertifiedJune 22, 2020
NPI 1114543592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in AZ · RBT-19-109460
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.

5859 W TALAVI BLVD STE 180, Glendale, AZ 85306

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.

Behavior Technician
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Behavior Technician
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Behavior Technician
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Behavior Technician
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Behavior Technician
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Behavior Technician
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Behavior Technician
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Behavior Technician
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306

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 Evan Dittrich's NPI number?

The NPI number for Evan Dittrich is 1114543592. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Evan Dittrich located?

Evan Dittrich practices at 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306. The listed phone number is (602) 560-2836.

What is Evan Dittrich'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 Evan Dittrich was last updated on June 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.