IndividualActive
Ken Nouque
NPI 1104774454 · Behavior Technician · Riverbank, CA
Ken Nouque is a Behavior Technician provider in Riverbank, CA (NPI 1104774454).
Provider details
- NPI number
- 1104774454
- 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
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (833) 599-2560
Street-level locationGet directions
Mailing address
850 Towbin Ave
Lakewood, NJ 08701-5928
Registry dates
- Enumerated
- 2026-03-20
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Frequently asked questions
- What is Ken Nouque's NPI number?
- Ken Nouque's National Provider Identifier (NPI) is 1104774454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ken Nouque's specialty?
- Ken Nouque is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ken Nouque located?
- Ken Nouque's practice location on file with NPPES is 5501 Antique Rose Way, Riverbank, CA 95367-9505.
- What is Ken Nouque's phone number?
- The practice phone number listed in the NPPES registry for Ken Nouque is (833) 599-2560.
- Is Ken Nouque's NPI active?
- Yes — Ken Nouque's NPI (1104774454) is active in the NPPES registry as of the last update on 2026-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.