Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anastasia Katrina Marisa Deforge

Individual provider Behavior Technician · NPI 1063330678

Anastasia Katrina Marisa Deforge is a Behavior Technician in Melba, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

115 Carrie Rex Ave
Melba, ID 83641-5187
Phone: (702) 768-8875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (ID)

Record details

NPI number1063330678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2026
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026