Individual
LAUREN ASHLEY DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(888) 329-4535
Mailing address
104 E GORDON ST, VILLA RICA, GA 30180-2018
(404) 661-5672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67425
GA
106S00000X
Behavior Technician
—
GA
Other
Enumeration date
04/29/2021
Last updated
08/21/2023
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