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

Nicole Renee Deriso

Individual provider Behavior Technician · NPI 1740053917

Nicole Renee Deriso is a Behavior Technician in Concord, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1200 Concord Ave # 185
Concord, CA 94520-4915
Phone: (877) 910-6538
Fax: (352) 373-4455
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 number1740053917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2023
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

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