DERIC ALLEN BCaBA
Individual Provider (NPI-1)
Active
Assistant Behavior Analyst
Provider Information
- NPI Number
1851813042- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BCaBA
- Status
- Active
Contact & Location
- Address
- 105 MESQUITE LN, NICHOLASVILLE, KY, 403569519
- Phone
- (859) 576-4178
Specialties & Taxonomies
Assistant Behavior Analyst
Primary License: KY #0-17-7944