IndividualActive
Raelin Derevencha
NPI 1609479963 · Behavior Technician · Nixa, MO
Raelin Derevencha is a Behavior Technician provider in Nixa, MO (NPI 1609479963).
Provider details
- NPI number
- 1609479963
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-20-136384 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
116 W Sherman Way Ste 1
Nixa, MO 65714-9022
Phone: (417) 298-0984
Fax: (417) 374-7158
Street-level locationGet directions
Mailing address
116 W Sherman Way Ste 1
Nixa, MO 65714-9022
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2021-07-26
- Certified
- 2021-07-26
Frequently asked questions
- What is Raelin Derevencha's NPI number?
- Raelin Derevencha's National Provider Identifier (NPI) is 1609479963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raelin Derevencha's specialty?
- Raelin Derevencha is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Raelin Derevencha located?
- Raelin Derevencha's practice location on file with NPPES is 116 W Sherman Way Ste 1, Nixa, MO 65714-9022.
- What is Raelin Derevencha's phone number?
- The practice phone number listed in the NPPES registry for Raelin Derevencha is (417) 298-0984.
- Is Raelin Derevencha's NPI active?
- Yes — Raelin Derevencha's NPI (1609479963) is active in the NPPES registry as of the last update on 2021-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.