IndividualActive
Derreck Nolasco
NPI 1174340582 · Behavior Technician · San Bruno, CA
Derreck Nolasco is a Behavior Technician provider in San Bruno, CA (NPI 1174340582).
Provider details
- NPI number
- 1174340582
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-23-259662 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
751 Camino Plz
San Bruno, CA 94066-3401
Phone: (650) 627-8045
Street-level locationGet directions
Mailing address
45 Poncetta Dr Apt 312
Daly City, CA 94015-4832
Registry dates
- Enumerated
- 2024-09-25
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Frequently asked questions
- What is Derreck Nolasco's NPI number?
- Derreck Nolasco's National Provider Identifier (NPI) is 1174340582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derreck Nolasco's specialty?
- Derreck Nolasco is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Derreck Nolasco located?
- Derreck Nolasco's practice location on file with NPPES is 751 Camino Plz, San Bruno, CA 94066-3401.
- What is Derreck Nolasco's phone number?
- The practice phone number listed in the NPPES registry for Derreck Nolasco is (650) 627-8045.
- Is Derreck Nolasco's NPI active?
- Yes — Derreck Nolasco's NPI (1174340582) is active in the NPPES registry as of the last update on 2024-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.