Alicia Derrick
Behavior Technician in Pomona, CA. Individual provider (NPI-1).
NPI number1891609855
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1891609855
- Entity type
- Individual (NPI-1)
- Name
- Alicia Derrick
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2026
- Certification date
- Sep 29, 2026
- Last updated
- Sep 29, 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
21 Rancho Camino Dr Ste 101-104Pomona, CA 91766-7019
Phone 909-326-0662
Mailing address
Po Box 740780Atlanta, GA 30374-0780
Phone 855-223-7123
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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All 1,369 Behavior Technician providers in Pomona · All 6,044 providers in Pomona
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