What is Salem Derdock's NPI number?

Salem Derdock's National Provider Identifier (NPI) is 1124986534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Salem Derdock's specialty?

Salem Derdock is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Salem Derdock located?

Salem Derdock's practice location on file with NPPES is 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618.

What is Salem Derdock's phone number?

The practice phone number listed in the NPPES registry for Salem Derdock is (904) 886-3228.

Is Salem Derdock's NPI active?

Yes — Salem Derdock's NPI (1124986534) is active in the NPPES registry as of the last update on 2026-01-13.

IndividualActive

Salem Derdock

NPI 1124986534 · Behavior Technician · Jacksonville, FL

Salem Derdock is a Behavior Technician provider in Jacksonville, FL (NPI 1124986534).

Provider details

NPI number: 1124986534
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(47/100 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

12276 San Jose Blvd Ste 508

Jacksonville, FL 32223-8618

Phone: (904) 886-3228

Fax: (904) 485-8876

Street-level locationGet directions

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Mailing address