Individual
DEANGELO DERRICK BAILEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5949 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(757) 537-0704
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
A61672242
VA
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
07/14/2025
Last updated
08/15/2025
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