Derrell Thomas Anderson

NPI #1952874885 in Youngstown, Ohio

Provider Information

NPI Number: 1952874885
Entity Type: Individual
Name: Derrell Thomas Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 3, 2019
Last Updated: Jan 3, 2019

Practice Location

Address: 238 S MERIDIAN RD
City: Youngstown
State: Ohio
ZIP Code: 44509-2925
Phone: (330) 318-3436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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