Individual
DEREK MARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 E BUFFALO ST, SUITE 148, MILWAUKEE, WI 53202-5808
(414) 847-5722
Mailing address
310 E BUFFALO ST, SUITE 148, MILWAUKEE, WI 53202-5808
(414) 847-5722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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