Individual
DARIAN M DERCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA/LBA
Contact information
Practice address
229 LAUREL RD, EAST NORTHPORT, NY 11731-1118
(631) 659-3337
Mailing address
229 LAUREL RD, EAST NORTHPORT, NY 11731-1118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
12/27/2019
Last updated
09/09/2021
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