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1639822554
DERRICK CHILDRESS
SAN ANTONIO, TX
NPI
1639822554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
DERRICK CHILDRESS
20610 PEARL HARVEST
SAN ANTONIO, TX 78259-2075
Phone number: 844-743-6506
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Mailing Address
DERRICK CHILDRESS
8300 JEFFERSON ST NE STE B
ALBUQUERQUE, NM 87113-1734
Phone number: 844-743-6506
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