IndividualActive
Frederick Derose
NPI 1063901981 · Behavior Technician · Dearborn, MI
Frederick Derose is a Behavior Technician provider in Dearborn, MI (NPI 1063901981).
Provider details
- NPI number
- 1063901981
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1360 Porter St
Dearborn, MI 48124-2890
Phone: (313) 689-5188
Street-level locationGet directions
Mailing address
1360 Porter St
Dearborn, MI 48124-2890
Registry dates
- Enumerated
- 2018-05-07
- Last updated
- 2018-05-07
Frequently asked questions
- What is Frederick Derose's NPI number?
- Frederick Derose's National Provider Identifier (NPI) is 1063901981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Frederick Derose's specialty?
- Frederick Derose is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Frederick Derose located?
- Frederick Derose's practice location on file with NPPES is 1360 Porter St, Dearborn, MI 48124-2890.
- What is Frederick Derose's phone number?
- The practice phone number listed in the NPPES registry for Frederick Derose is (313) 689-5188.
- Is Frederick Derose's NPI active?
- Yes — Frederick Derose's NPI (1063901981) is active in the NPPES registry as of the last update on 2018-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.