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

Nathan Ryan Dickerson

Individual provider Behavior Technician · NPI 1164121877

Nathan Ryan Dickerson is a Behavior Technician in Fairfield, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

490 Chadbourne Rd Ste A131
Fairfield, CA 94534-1862
Phone: (844) 636-3987
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 number1164121877
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address490 Chadbourne Rd Ste A131, Fairfield, CA 94534-1862

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