Individual
MR. DEREK E PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABAT
Contact information
Practice address
615 WHEAT MILL RD, DURHAM, NC 27704-1242
(252) 452-7346
Mailing address
416 SUNNYVIEW RD, HENDERSON, NC 27536-4449
(973) 380-7681
(919) 937-2046
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11327
QUALIFIED APPLIED BEHAVIOR ANALYSIS CREDENTIALING BOARD
CA
Enumeration date
01/11/2021
Last updated
01/11/2021
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