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Darnell Fair

Behavior Technician in Deerfield Beach, FL. Individual provider (NPI-1).

NPI number1104760339
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1104760339
Entity type
Individual (NPI-1)
Name
Darnell Fair
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 17, 2026
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Phone 888-880-9270

Mailing address

4441 Nw 70th Ave
Lauderhill, FL 33319-4042

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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