Individual
DERRICK PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
101 SIDCO DR, COLUMBIA, TN 38401-4598
(931) 385-2518
Mailing address
101 SIDCO DR, COLUMBIA, TN 38401-4598
(931) 385-2518
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1051053
TN
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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