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1689414948
SHANITA SHANAY DERRICK
CONCORD, CA
NPI
1689414948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
SHANITA SHANAY DERRICK
1200 CONCORD AVE STE 185
CONCORD, CA 94520-4915
Phone number: 510-268-8120
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Mailing Address
SHANITA SHANAY DERRICK
1200 CONCORD AVE STE 185
CONCORD, CA 94520-4915
Phone number:
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