Individual
DEREK C HENDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2225 BEMISS RD, SUTIE D, VALDOSTA, GA 31602-4818
(800) 832-9419
Mailing address
59 HENDLEY LN, LAKELAND, GA 31635-5703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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