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

Benjamin Sinner Derose

Individual provider Behavior Technician · NPI 1790537140

Benjamin Sinner Derose is a Behavior Technician in Granite Bay, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4196 Douglas Blvd Ste 100
Granite Bay, CA 95746-5904
Phone: (916) 489-1376
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1790537140
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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