SALEM ISABELLA DERDOCK
NPI 1124986534
Behavior Technician in Jacksonville, FL

Active since January 13, 2026
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223(904) 886-3228(904) 485-8876 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Salem Isabella Derdock NPPES

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

SALEM ISABELLA DERDOCK (NPI 1124986534) is an individual behavior technician in Jacksonville, Florida and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1124986534
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSALEM ISABELLA DERDOCK
Location Address12276 SAN JOSE BLVD STE 508Jacksonville, FL 32223-8618
Mailing Address12276 San Jose Blvd Ste 508Jacksonville, FL 32223-8618 · (904) 886-3228 · Fax (904) 485-8876
Fax(904) 485-8876
Sole ProprietorNo
Enumeration DateJanuary 13, 2026
NPPES CertifiedJanuary 13, 2026
NPI 1124986534 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.
12276 SAN JOSE BLVD STE 508, Jacksonville, FL 32223

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.

Physical Therapist (Pediatrics)
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Assistant Behavior Analyst
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Behavior Technician
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Occupational Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Music Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Physical Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Behavior Analyst
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Occupational Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223

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 Salem Derdock's NPI number?

The NPI number for Salem Derdock is 1124986534. It was assigned to this individual provider in the NPPES registry on January 13, 2026.

Where is Salem Derdock located?

Salem Derdock practices at 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223. The listed phone number is (904) 886-3228.

What is Salem Derdock'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 Salem Derdock was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.