MR. Derrick Michael Kugel

NPI #1619402187 in Lutz, Florida

Provider Information

NPI Number: 1619402187
Entity Type: Individual
Name: MR. Derrick Michael Kugel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 21, 2017
Last Updated: Apr 21, 2017

Practice Location

Address: 15004 TURTLE LAKE CT
City: Lutz
State: Florida
ZIP Code: 33559-7728
Phone: (813) 728-4276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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