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

Derreck Oliver Nolasco

Individual provider Behavior Technician · NPI 1174340582

Derreck Oliver Nolasco is a Behavior Technician in San Bruno, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

751 Camino Plz
San Bruno, CA 94066-3401
Phone: (650) 627-8045
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-259662 (CA)

Record details

NPI number1174340582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address45 Poncetta Dr Apt 312, Daly City, CA 94015-4832

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