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Benjamin Derose
NPI 1790537140 · Behavior Technician · Granite Bay, CA
Benjamin Derose is a Behavior Technician provider in Granite Bay, CA (NPI 1790537140).
Provider details
- NPI number
- 1790537140
- 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(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
4196 Douglas Blvd Ste 100
Granite Bay, CA 95746-5904
Phone: (916) 489-1376
Street-level locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-04-01
- Certified
- 2024-04-01
Frequently asked questions
- What is Benjamin Derose's NPI number?
- Benjamin Derose's National Provider Identifier (NPI) is 1790537140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Derose's specialty?
- Benjamin Derose is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Benjamin Derose located?
- Benjamin Derose's practice location on file with NPPES is 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904.
- What is Benjamin Derose's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Derose is (916) 489-1376.
- Is Benjamin Derose's NPI active?
- Yes — Benjamin Derose's NPI (1790537140) is active in the NPPES registry as of the last update on 2024-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.