IndividualActive
Derek Potter
NPI 1104419886 · Behavior Technician · Indianapolis, IN
Derek Potter is a Behavior Technician provider in Indianapolis, IN (NPI 1104419886).
Provider details
- NPI number
- 1104419886
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RBT-21-152377 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
8350 Craig St
Indianapolis, IN 46250-3593
Phone: (317) 578-0410
Street-level locationGet directions
Mailing address
2323 Coyner Ave
Indianapolis, IN 46218-4331
Registry dates
- Enumerated
- 2021-02-14
- Last updated
- 2021-02-14
- Certified
- 2021-02-14
Frequently asked questions
- What is Derek Potter's NPI number?
- Derek Potter's National Provider Identifier (NPI) is 1104419886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Potter's specialty?
- Derek Potter is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Derek Potter located?
- Derek Potter's practice location on file with NPPES is 8350 Craig St, Indianapolis, IN 46250-3593.
- What is Derek Potter's phone number?
- The practice phone number listed in the NPPES registry for Derek Potter is (317) 578-0410.
- Is Derek Potter's NPI active?
- Yes — Derek Potter's NPI (1104419886) is active in the NPPES registry as of the last update on 2021-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.