IndividualActive
Desmond Odom
NPI 1164115291 · Behavior Technician · Anchorage, AK
Desmond Odom is a Behavior Technician provider in Anchorage, AK (NPI 1164115291).
Provider details
- NPI number
- 1164115291
- 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(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4130 San Ernesto Ave
Anchorage, AK 99508-2875
Phone: (907) 729-5070
Street-level locationGet directions
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Registry dates
- Enumerated
- 2023-06-02
- Last updated
- 2023-06-02
- Certified
- 2023-06-02
Frequently asked questions
- What is Desmond Odom's NPI number?
- Desmond Odom's National Provider Identifier (NPI) is 1164115291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Desmond Odom's specialty?
- Desmond Odom is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Desmond Odom located?
- Desmond Odom's practice location on file with NPPES is 4130 San Ernesto Ave, Anchorage, AK 99508-2875.
- What is Desmond Odom's phone number?
- The practice phone number listed in the NPPES registry for Desmond Odom is (907) 729-5070.
- Is Desmond Odom's NPI active?
- Yes — Desmond Odom's NPI (1164115291) is active in the NPPES registry as of the last update on 2023-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.