Individual
DEREK BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
21025 N 8TH WAY STE 100, PHOENIX, AZ 85024-4205
(602) 960-8075
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76712
AZ
Other
Enumeration date
11/04/2022
Last updated
10/30/2024
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