Individual
DERREL ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
630 N CRAYCROFT RD, TUCSON, AZ 85711-1405
(520) 344-8280
Mailing address
630 N CRAYCROFT RD, TUCSON, AZ 85711-1405
(520) 344-8280
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000525
AZ
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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