Individual
DERECK SHIFFLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1094 W 2500 S, VERNAL, UT 84078-4658
(435) 789-2588
Mailing address
1094 W 2500 S, VERNAL, UT 84078-4658
(435) 790-2588
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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