Individual
DEREK DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
372 VINE ST, PAWTUCKET, RI 02861-2703
(914) 338-2564
Mailing address
372 VINE ST, PAWTUCKET, RI 02861-2703
(914) 338-2564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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