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Levi Deatherage
NPI 1336001916 · Behavior Technician · San Bernardino, CA
Levi Deatherage is a Behavior Technician provider in San Bernardino, CA (NPI 1336001916).
Provider details
- NPI number
- 1336001916
- 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(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
4508 N Sierra Way
San Bernardino, CA 92407-3854
Phone: (800) 207-0272
Street-level locationGet directions
Mailing address
612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Levi Deatherage's NPI number?
- Levi Deatherage's National Provider Identifier (NPI) is 1336001916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Levi Deatherage's specialty?
- Levi Deatherage is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Levi Deatherage located?
- Levi Deatherage's practice location on file with NPPES is 4508 N Sierra Way, San Bernardino, CA 92407-3854.
- What is Levi Deatherage's phone number?
- The practice phone number listed in the NPPES registry for Levi Deatherage is (800) 207-0272.
- Is Levi Deatherage's NPI active?
- Yes — Levi Deatherage's NPI (1336001916) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.