Individual
MISS KATE DERRENBACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
6170 HEMINGWAY RD, JAMESVILLE, NY 13078-6451
(315) 956-0189
Mailing address
6170 HEMINGWAY RD, JAMESVILLE, NY 13078-6451
(315) 956-0189
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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