Individual
CHRISTINE' L DERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6610 SW 18TH ST, N LAUDERDALE, FL 33068-5210
(305) 709-7777
Mailing address
6610 SW 18TH ST, N LAUDERDALE, FL 33068-5210
(305) 709-7777
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Enumeration date
08/19/2017
Last updated
07/21/2022
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