Julia Paige Derrick

NPI #1013748136 in Meridian, Idaho

Provider Information

NPI Number: 1013748136
Entity Type: Individual
Name: Julia Paige Derrick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 10, 2024
Last Updated: Aug 10, 2024

Practice Location

Address: 2549 N STOKESBERRY PL
City: Meridian
State: Idaho
ZIP Code: 83646-1144
Phone: (208) 871-2102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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