MS. Michele Elizabeth Derouen, BSPTA

NPI #1992049795 in Alamogordo, New Mexico

Provider Information

NPI Number: 1992049795
Entity Type: Individual
Name: MS. Michele Elizabeth Derouen, BSPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BSPTA
Enumeration Date: Nov 16, 2012
Last Updated: Apr 14, 2022

Practice Location

Address: 27 CALLE DE SUENOS
City: Alamogordo
State: New Mexico
ZIP Code: 88310-9501
Phone: (575) 491-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Physical Therapy Assistant	225200000X

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