Individual
GRETCHEN QUINN DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, TX
Contact information
Practice address
7470 CIMARRON PLZ STE 200, EL PASO, TX 79911-2220
(915) 975-5592
Mailing address
6505 VASCO WAY, EL PASO, TX 79912-1710
(915) 799-7234
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7560
TX
106S00000X
Behavior Technician
BACB623624
TX
Other
Enumeration date
01/06/2021
Last updated
10/18/2024
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