IndividualActive
Deric Botha
NPI 1093277733 · Behavior Technician · San Bruno, CA
Deric Botha is a Behavior Technician provider in San Bruno, CA (NPI 1093277733).
Provider details
- NPI number
- 1093277733
- 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(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
901 Sneath Ln Ste 105
San Bruno, CA 94066-2415
Phone: (650) 515-9882
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Registry dates
- Enumerated
- 2019-04-02
- Last updated
- 2019-04-02
Frequently asked questions
- What is Deric Botha's NPI number?
- Deric Botha's National Provider Identifier (NPI) is 1093277733, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deric Botha's specialty?
- Deric Botha is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Deric Botha located?
- Deric Botha's practice location on file with NPPES is 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415.
- What is Deric Botha's phone number?
- The practice phone number listed in the NPPES registry for Deric Botha is (650) 515-9882.
- Is Deric Botha's NPI active?
- Yes — Deric Botha's NPI (1093277733) is active in the NPPES registry as of the last update on 2019-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.