DERRICK L VICTORIAN

LAKE BLUFF, IL
NPI1508471830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2020-09-14
Last Update Date2020-09-14
Business Address
DERRICK L VICTORIAN M.A.
917 SHERWOOD DR
LAKE BLUFF, IL 60044-2224
Phone number: 877-486-4140
Mailing Address
DERRICK L VICTORIAN M.A.
415 S LINCOLN AVE
WAUKEGAN, IL 60085-6345
Phone number: 847-445-5192
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