Individual
DERIK MARTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS BCBA LABA
Contact information
Practice address
73 NEWBURY ST STE 400, BOSTON, MA 02116-3042
(617) 839-3707
Mailing address
73 NEWBURY ST STE 400, BOSTON, MA 02116-3042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-25640
MA
103K00000X
Behavior Analyst
Primary
1998
MA
Other
Enumeration date
05/22/2017
Last updated
06/28/2017
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