Derek Roach

NPI #1700427135 in Lynn, Massachusetts

Provider Information

NPI Number: 1700427135
Entity Type: Individual
Name: Derek Roach
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 7, 2019
Last Updated: Oct 7, 2019

Practice Location

Address: 210 MAPLE ST
City: Lynn
State: Massachusetts
ZIP Code: 01904-2710
Phone: (781) 913-5044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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