Individual
DEREK EDWARD VOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 LOGAN ST, LYONS, NE 68038-2603
(605) 787-2956
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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