Individual
DERREK TRAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8601 SIX FORKS RD STE 400, RALEIGH, NC 27615-2965
(252) 341-4192
Mailing address
8601 SIX FORKS RD STE 400, RALEIGH, NC 27615-2965
(252) 341-4192
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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