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

Evan Dittrich

Individual provider Behavior Technician · NPI 1114543592

Evan Dittrich is a Behavior Technician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

5859 W Talavi Blvd Ste 180
Glendale, AZ 85306-1873
Phone: (602) 560-2836
Fax: (317) 520-8200
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-19-109460 (AZ)

Record details

NPI number1114543592
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2020
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

Other providers in Glendale