Individual
DEREK KIMBALL DEMARTINIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 BEECHSTONE APT 6, PORTSMOUTH, NH 03801-6348
(585) 690-9020
Mailing address
46 BEECHSTONE APT 6, PORTSMOUTH, NH 03801-6348
(585) 690-9020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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