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DERRICK TERRELL BOUTTE JR. MA
NPI 1407431208
Assistant Behavior Analyst in Ontario, CA

Active since March 12, 2021
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764(909) 476-5747 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Terrell Boutte Jr. Ma NPPES

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

DERRICK TERRELL BOUTTE JR. MA (NPI 1407431208) is an individual assistant behavior analyst provider in Ontario, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1407431208
Entity TypeIndividualMale
Primary Taxonomy106E00000X
Provider Legal NameDERRICK TERRELL BOUTTE JR.Credential: MA
Location Address4688 ONTARIO MILLS PKWYOntario, CA 91764-5104
Mailing Address4688 Ontario Mills PkwyOntario, CA 91764-5104
Phone(909) 476-5747
Sole ProprietorNo
Enumeration DateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
✔ NPI 1407431208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code106E00000X
Definition
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
4688 ONTARIO MILLS PKWY, Ontario, CA 91764
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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.

ALEJANDRA DIAZ
Behavior Technician
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
San Bernardino County (714) 834-1111
KARLOTTA ARACELY MORA
Behavior Technician
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
San Bernardino County (909) 476-5747
ALEXANDRA SALAZAR
Speech-Language Pathologist
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
San Bernardino County (909) 476-5747
LOURDES SOTELO
Assistant Behavior Analyst
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
San Bernardino County (714) 785-0520
ASHLEY MICHELLE LEYVA
Behavior Analyst
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
San Bernardino County (714) 876-1518
NAYELI AGUILAR
Assistant Behavior Analyst
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
San Bernardino County (714) 834-1111
KONIAH WILLIAMS
Assistant Behavior Analyst
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
San Bernardino County (714) 834-1111
TRAVISHONIQUIA L MORAN
Behavior Technician
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
San Bernardino County (714) 834-1111

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 Derrick Boutte's NPI number?

The NPI number for Derrick Boutte is 1407431208. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Where is Derrick Boutte located?

Derrick Boutte practices at 4688 Ontario Mills Pkwy, Ontario, CA 91764. The listed phone number is (909) 476-5747.

What is Derrick Boutte's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

When was this NPI record last updated?

The NPPES record for Derrick Boutte was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.