Individual
MR. DERRICK JONES PREJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
3760 LAVISTA RD STE 102, TUCKER, GA 30084-5622
(678) 626-0557
Mailing address
760 GARDEN VIEW DR, STONE MOUNTAIN, GA 30083-3585
(404) 788-2854
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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