IndividualActive
Evan Dittrich
NPI 1114543592 · Behavior Technician · Glendale, AZ
Evan Dittrich is a Behavior Technician provider in Glendale, AZ (NPI 1114543592).
Provider details
- NPI number
- 1114543592
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-19-109460 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
5859 W Talavi Blvd Ste 180
Glendale, AZ 85306-1873
Phone: (602) 560-2836
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2020-06-22
- Last updated
- 2020-06-22
- Certified
- 2020-06-22
Frequently asked questions
- What is Evan Dittrich's NPI number?
- Evan Dittrich's National Provider Identifier (NPI) is 1114543592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Dittrich's specialty?
- Evan Dittrich is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Evan Dittrich located?
- Evan Dittrich's practice location on file with NPPES is 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873.
- What is Evan Dittrich's phone number?
- The practice phone number listed in the NPPES registry for Evan Dittrich is (602) 560-2836.
- Is Evan Dittrich's NPI active?
- Yes — Evan Dittrich's NPI (1114543592) is active in the NPPES registry as of the last update on 2020-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.