Individual
HALEY M DERKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(918) 900-6237
Mailing address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(918) 900-6237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/14/2022
Last updated
06/18/2025
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