Individual
DERRICK MATTHEW DOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 S STEPHANIE ST APT 611, HENDERSON, NV 89012-4410
(702) 858-2443
Mailing address
225 S STEPHANIE ST APT 611, HENDERSON, NV 89012-4410
(702) 858-2443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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