MR. DEREK KIMBLE JR.
NPI 1245978113
Behavior Technician in Phoenix, AZ

Active since May 21, 2022
10000 N 31ST AVE STE B109, PHOENIX, AZ 85051(480) 597-7321 Get Directions Write a Review

NPPES record last updated: May 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Derek Kimble Jr. NPPES

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

MR. DEREK KIMBLE JR. (NPI 1245978113) is an individual behavior technician in Phoenix, Arizona and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1245978113
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMR. DEREK KIMBLE JR.
Location Address10000 N 31ST AVE STE B109Phoenix, AZ 85051-9586
Mailing Address10000 N 31st Ave Ste B109Phoenix, AZ 85051-9586 · (480) 597-7321
Sole ProprietorNo
Enumeration DateMay 21, 2022
NPPES CertifiedMay 21, 2022
NPI 1245978113 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.

10000 N 31ST AVE STE B109, Phoenix, AZ 85051

Other Identifiers 1

Other000000Other

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
10000 N 31ST AVE STE B109
PHOENIX, AZ 85051
Behavior Technician
10000 N 31ST AVE STE B109
PHOENIX, AZ 85051
Behavior Technician
10000 N 31ST AVE STE B109
PHOENIX, AZ 85051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245978113, enumerated as an "individual" on May 21, 2022.

The provider is located at 10000 N 31ST AVE STE B109 PHOENIX, AZ 85051 and the phone number is (480) 597-7321.

Behavior Technician with taxonomy code 106S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.