Michael Anthony Derose
Michael Anthony Derose is a Behavior Technician in Modesto, California. Licensed in California. Registered with an NPI since 2026.
- Licensed in
- CA
- In the registry since
- 2026
Practice location Address checks out
605 Standiford Ave Ste BModesto, CA 95350-1000
Phone: (877) 418-2978
Fax: (866) 500-2186
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1205752763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 27, 2026 |
| Last updated in NPPES | June 27, 2026 |
| Certification date | June 27, 2026 |
| Mailing address | 350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 |
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