Individual
DEREK GUPTILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
800 CENTER ST, AUBURN, ME 04210-6404
(207) 376-3311
Mailing address
630 E MAIN ST, DENMARK, ME 04022-5523
(207) 376-3311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
10/12/2016
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