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1427544501
DERRICK ROBERTS
JACKSONVILLE, FL
NPI
1427544501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
(Licence: SC 18-57130)
Enumeration Date
2018-07-02
Last Update Date
2019-06-13
Business Address
DERRICK ROBERTS BCBA
11302 FORESTDALE RD
JACKSONVILLE, FL 32218
Phone number: 904-887-8811
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Mailing Address
DERRICK ROBERTS BCBA
11302 FORESTDALE RD
JACKSONVILLE, FL 32218-3779
Phone number: 904-887-8811
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