Individual
DERRICK JAMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11607 SOUTHFORK AVE BLDG BNA, BATON ROUGE, LA 70816-5220
(225) 910-3499
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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