Individual
MR. GIOVANTE DERICK SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3855 CENTERVIEW DR STE 400B, CHANTILLY, VA 20151-3285
(571) 554-5730
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-231311
VA
Other
Enumeration date
06/11/2018
Last updated
06/30/2025
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