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1275188005
DERRICK DEROD MCFADDEN
BALTIMORE, MD
NPI
1275188005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
Mr. DERRICK DEROD MCFADDEN
646 BRISBANE RD
BALTIMORE, MD 21229-4401
Phone number: 410-369-6812
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Mailing Address
Mr. DERRICK DEROD MCFADDEN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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