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

Derrick Dale Fontroy

Individual provider Behavior Technician · NPI 1174392070

Derrick Dale Fontroy is a Behavior Technician in Saint Cloud, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

109 Doctors Park
Saint Cloud, MN 56303-1207
Phone: (320) 774-1908
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 number1174392070
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023

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