IndividualActive
Dezarae Till
NPI 1902619240 · Behavior Technician · Clear Lake, IA
Dezarae Till is a Behavior Technician provider in Clear Lake, IA (NPI 1902619240).
Provider details
- NPI number
- 1902619240
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 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
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
1020 Buddy Holly Pl
Clear Lake, IA 50428-3735
Phone: (952) 767-4200
Fax: (952) 767-4211
Street-level locationGet directions
Mailing address
5860 Baker Rd
Minnetonka, MN 55345-5903
Registry dates
- Enumerated
- 2025-01-30
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Frequently asked questions
- What is Dezarae Till's NPI number?
- Dezarae Till's National Provider Identifier (NPI) is 1902619240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dezarae Till's specialty?
- Dezarae Till is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Dezarae Till located?
- Dezarae Till's practice location on file with NPPES is 1020 Buddy Holly Pl, Clear Lake, IA 50428-3735.
- What is Dezarae Till's phone number?
- The practice phone number listed in the NPPES registry for Dezarae Till is (952) 767-4200.
- Is Dezarae Till's NPI active?
- Yes — Dezarae Till's NPI (1902619240) is active in the NPPES registry as of the last update on 2025-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.