MS. Desire Sally Derrera, BS

NPI #1063068336 in Moreno Valley, California

Provider Information

NPI Number: 1063068336
Entity Type: Individual
Name: MS. Desire Sally Derrera, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BS
Enumeration Date: Aug 13, 2019
Last Updated: Aug 13, 2019

Practice Location

Address: 12125 DAY ST STE 301
City: Moreno Valley
State: California
ZIP Code: 92557-6702
Phone: (951) 344-2166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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