DERRICK ROBERTS BCBA
NPI 1427544501
Behavior Analyst in Jacksonville, FL

Active since July 02, 2018
11302 FORESTDALE RD, JACKSONVILLE, FL 32218(904) 887-8811 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 13, 2019, May 30, 2019, Jul 2, 2018 (3 updates tracked since 2018).

  • Individual
  • Male
  • Behavior Analyst

About DERRICK ROBERTS

This page provides the complete NPI Profile along with additional information for Derrick Roberts, a provider established in Jacksonville, Florida with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1427544501 assigned on July 2018. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1427544501 Verify this NPI
Provider Name
DERRICK ROBERTS BCBA
Gender
Male
Entity Type
Individual
Location Address
11302 FORESTDALE RD JACKSONVILLE, FL 32218
Location Phone
(904) 887-8811
Mailing Address
11302 FORESTDALE RD JACKSONVILLE, FL 32218
Mailing Phone
(904) 887-8811
Is Sole Proprietor?
No
Enumeration Date
07-02-2018
Last Update Date
06-13-2019
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Location Map

Secondary Locations

  • 11302 Forestdale Rd
    Jacksonville, FL 32218
    (904) 887-8811

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

18-57130 (SC)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427544501, enumerated as an "individual" on July 02, 2018.

The provider is located at 11302 FORESTDALE RD JACKSONVILLE, FL 32218 and the phone number is (904) 887-8811.

Behavior Analyst with taxonomy code 103K00000X.