Individual
DERICK HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4677 N VIRGINIA AVE, 1N, CHICAGO, IL 60625
(312) 520-4657
Mailing address
4677 N VIRGINIA AVE, 1N, CHICAGO, IL 60625-2953
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11678
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/16/2010
Last updated
05/22/2018
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