Individual provider · Type 1 NPI

Salem Isabella Derdock

Behavior Technician · Jacksonville, FL

NPI number 1124986534 Active

Practice location

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618

Call (904) 886-3228 Map

Fax (904) 485-8876

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: 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…

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About NPI 1124986534

Salem Isabella Derdock's National Provider Identifier is 1124986534, issued on Jan 13, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 13, 2026.