Derrick L Victorian, M.A.

NPI #1508471830 in Lake Bluff, Illinois

Provider Information

NPI Number: 1508471830
Entity Type: Individual
Name: Derrick L Victorian, M.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: M.A.
Enumeration Date: Sep 14, 2020
Last Updated: Sep 14, 2020

Practice Location

Address: 917 SHERWOOD DR
City: Lake Bluff
State: Illinois
ZIP Code: 60044-2224
Phone: (877) 486-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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