Individual
DERRICK DEGRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4106 COLUMBIA RD, AUGUSTA, GA 30907-1450
(706) 426-0583
Mailing address
701 SPALDING CT, MARTINEZ, GA 30907-2970
(862) 216-1886
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
05/13/2025
Last updated
06/23/2025
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