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Individual

MR. DEREK MONTEL BROWN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5420 W SAHARA AVE, SUITE 103, LAS VEGAS, NV 89146-0394
(702) 436-4247
Mailing address
1812 WENGERT AVE, LAS VEGAS, NV 89104-1933
(702) 338-3082

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103TR0400X
Rehabilitation Psychologist

Other

Enumeration date
08/22/2011
Last updated
08/13/2012
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