Individual
TIMICA LYNN DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 E SAHARA AVE APT 310, LAS VEGAS, NV 89104-6327
(702) 785-7627
Mailing address
4801 EAST SAHARA AVE #310, LAS VEGAS, NV 89104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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