Individual
DEREK B POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
203 S ELMER AVE, SAYRE, PA 18840-2019
(607) 760-9520
Mailing address
2615 YALE ST, ENDWELL, NY 13760-3281
(607) 624-1161
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36291
CO
Other
Enumeration date
09/28/2020
Last updated
12/17/2020
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