Individual
DERION HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 N WACO AVE STE 35, WICHITA, KS 67203-3928
(316) 290-9046
Mailing address
2550 S OLIVER ST APT 509, WICHITA, KS 67210-1230
(316) 347-3757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
KS
171M00000X
Case Manager/Care Coordinator
—
KS
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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