Individual
DERRISHA DEANNA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14200 RODEO DR APT 104, VICTORVILLE, CA 92395-7003
(818) 792-8038
Mailing address
14200 RODEO DR APT 104, VICTORVILLE, CA 92395-7003
(818) 792-8038
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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