Derek Blake Charles
Derek Blake Charles is a Behavior Technician in Palm Coast, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
18 Prince Kaarel LnPalm Coast, FL 32164-7156
Phone: (606) 213-2755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1073380481 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2023 |
| Last updated in NPPES | December 6, 2023 |
| Certification date | December 6, 2023 |
| Mailing address | 23 Rybar Ln, Palm Coast, FL 32164-6445 |
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