Individual
MR. DERRICK ALTWAIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
514 S HUNT CLUB BLVD, APOPKA, FL 32703-4948
(407) 613-2335
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-10936
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/03/2019
Last updated
03/05/2020
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