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1881236875
DEREK VINCENT MARTIN
LANCASTER, PA
NPI
1881236875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: PA BH004643)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
DEREK VINCENT MARTIN BSL
410 N PRINCE ST
LANCASTER, PA 17603-3010
Phone number: 717-560-7917
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Mailing Address
DEREK VINCENT MARTIN BSL
410 N PRINCE ST
LANCASTER, PA 17603-3010
Phone number: 717-560-7917
Copy
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