Individual
DERRICK SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1622 TERMINAL DR, RICHLAND, WA 99354-4953
(360) 984-3131
(360) 718-8542
Mailing address
8019 NE 13TH AVE, VANCOUVER, WA 98665-9604
(360) 984-3131
(360) 718-8542
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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