DERRICK ANDRE JANUARY

LONG BEACH, CA
NPI1144036963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-12-06
Last Update Date2024-12-06
Business Address
DERRICK ANDRE JANUARY
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807-2008
Phone number: 855-223-7123
Mailing Address
DERRICK ANDRE JANUARY
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: